Title of Invention

A CONTRAST AGENT

Abstract Peptides and peptide-targeted multimeric contrast agents are described, as well as methods of making and using the contrast agents.
Full Text A CONTRAST AGENT
Peptide-Based Multimeric Targeted Contrast Agents
RELATED APPLICATION DATA
This application claims priority from U.S. Provisional Application Serial No.
60/308,721, filed July 30,2001.
TECHNICAL FIELD
This invention relates to contrast agents for diagnostic imaging, and more
particularly to peptide-targeted, multimeric contrast agents, wherein a peptide functions
as a targeting group and a point of attachment for one or more chelates at both the amino
and carboxy termini of the peptide.
BACKGROUND
Diagnostic imaging techniques, such as magnetic resonance imaging (MRI), X-
ray, nuclear radiopharmaceutical imaging, ultraviolet-visible-infrared light imaging, and
ultrasound, have been used in medical diagnosis for a number of years. Contrast media
additionally have been used to improve or increase the resolution of the image or to
provide specific diagnostic information.
To be effective, the contrast media must interfere with the wavelength of
electromagnetic radiation used in the imaging technique, alter the physical properties of
tissue to yield an altered signal, or, as in the case of radiopharmaceuticals, provide the
source of radiation itself. MRI and optical methods are unique among imaging modalities
in that they yield complex signals that are sensitive to the chemical environment. While
the signal from X-ray or radionuclide agents remains the same whether agents are free in
plasma, bound to proteins or other targets, or trapped inside bone, certain contrast agents
for MRI and optical imaging will have different signal characteristics in differing
physiological environments. It is important that the contrast agent be sufficiently
sensitive and present at high enough concentration so that signal changes can be
observed.
Complexes between gadolinium or other paramagnetic ions and organic ligands
are widely used to enhance and improve MRI contrast Gadolinium complexes increase

contrast by increasing the nuclear magnetic relaxation rates of protons found in the water
molecules that are accessible to the contrast agents during MRI (Caravan, P., et al., R.B.
Chem. Rev. 99, 2293 (1999)). The relaxation rate of the protons in these water molecules
increases relative to protons in other water molecules that are not accessible to the
contrast agent This change in relaxation rate leads to improved contrast of the images.
In addition, this increase in relaxivity within a specific population of water molecule
protons can result in an ability to collect more image data in a given amount of time. This
in turn results in an improved signal to noise ratio.
Imaging may also be performed using light, in which case an optical dye is chosen
to provide signal. In particular, light in the 600-1300 nm (visible to near-infrared) range
passes relatively easily through biological tissues and can be used for imaging purposes.
The light that is transmitted through, or scattered by, reflected, or re-emitted
(fluorescence), is detected and an image generated. Changes in the absorbance,
reflectance, or fluorescence characteristics of a dye, including an increase or decrease in
the number of absorbance peaks or a change in their wavelength maxima, may occur
upon binding to a biological target, thus providing additional tissue contrast. In some
situations, for example the diagnosis of disease close to the body surface, UV or visible
light may also be used.
A need persists for contrast agents that can deliver sufficient concentrations of the
imaging moiety to the target to improve the sensitivity of the imaging process as well as
contrast agents that have a sufficient half-life in vivo.
SUMMARY
The invention is based on peptides and peptide-targeted multimeric contrast
agents for MR, optical, and radionuclide imaging, wherein a single peptide can function
both as a targeting group and a point of attachment for one or more chelates at both the N-
and C- termini, either directly or via an optional intervening linker. Surprisingly, contrast
agents of the invention maintain binding affinity for biological targets such as fibrin and
high relaxivity. Agents of the invention have a sufficient half-life following in vivo
administration such that effective imaging studies can be performed.

In one aspect, the invention features purified peptides that include the amino acid
sequence: P* - Y* - X1* - L* (SEQ ID NO: 1), wherein P* is a proline or a non-natural
derivative thereof; Y* is a tyrosine or a non-natural derivative thereof; X1* is G or D or a
non-natural derivative of G or D; L* is a leucine or a non-natural derivative thereof; and
wherein at least one of P*, Y*, X1, and L* is a non-natural derivative of the respective
amino acid. X1* can be G or D and L* can be leucine. In some embodiments, P* is
proline or 4-hydroxyproline, and Y* is tyrosine or a non-natural derivative of tyrosine
substituted at the 3 position with a moiety selected from the group consisting of F, Cl, Br,
I, and NO2. Compounds of the invention can include such peptides linked to a
thrombolytic agent.
In another aspect, the invention features purified peptides that include the amino
acid sequence X1 -X2-C-P*-Y* -X3 -L-C-X4-X5-X6 (SEQ ID NO:2),
wherein: P* is a proline or a non-natural derivative thereof; Y* is a tyrosine or a non-
natural derivative thereof; X1 is selected from the group consisting of W, Y, F, S, Bip, Hx,
Dpr, Cy, Gu, Ad, Hfe, 3-Pal, 4-Pal, DopaMe2, nTyr, dW, dF, F(3/4*), and Y(3*), wherein
F(3/4*) is a phenylalanine substituted at either the 3 or the 4 position with a moiety
selected from the group consisting of CH3, CF3, NH2, CH2NH2, CN, F, Cl, Br, I, Et, and
OMe, and wherein Y(3*) is a tyrosine substituted at the 3 position with a moiety selected
from the group consisting of F, Cl, Br, I, and NO2; X2 is selected from the group
consisting of E, H, dE, S, H(Bzl), 2-Pal, Dpr, and Th; X3 is selected from the group
consisting of G and D; X4 is selected from the group consisting of H, F, Y, and W; X5 is
selected from the group consisting of I, L, V, N, Bpa, Bal, Hfe, Nle, Tle, Nval, Phg, Cha,
Taz, Fua, Th, 4-Pal, and F(3/4*), wherein F(3/4*) is a phenylalanine substituted at either
the 3 or the 4 position with a moiety selected from the group consisting of CF3, Et, iPr,
and OMe; X6 is selected from the group consisting of N, Q, I, L, and V, or X6 is not
present; and wherein at least one of X1, X2, X5, P*, and Y* is a non-natural derivative of
an amino acid. For example, P* can be proline or 4-hydroxyproline, and Y* can be
tyrosine or a non-natural derivative of tyrosine substituted at the 3 position with a moiety
selected from the group consisting of F, Cl, Br, I, and NO2. The purified peptides can be
capable of forming a disulfide bond under non-reducing conditions and can have specific

binding affinity for fibrin. In some embodiments, the peptides include a disulfide bond.
Compounds of the invention can include such peptides linked to a thrombolytic agent
The invention also features purified peptides having an amino acid sequence
selected from the group consisting of W-dE-C-P(4-OH)-Y(3-Cl)-G-L-C-W-I-Q-(SEQ ID
NO:4), Y-dE-C-P(4-OH)-Y(3-Cl)-G-L-C-Y-I-Q (SEQ ID NO:5), Y-dE-C-P(4-OH)-Y(3-
Cl)-G-L-C-W-I-Q (SEQ ID NO:6), W-dE-C-P(4-OH)-Y(3-Cl)-G-L-C-Y-I-Q (SEQ ID
NO:7), W-dE-C-P(4-OH)-Y(3-Cl)-D-L-C-W-I-Q (SEQ ID NO:8), Y-dE-C-P(4-OH)-Y(3-
Cl)-D-L-C-Y-I-Q (SEQ ID NO:9), Y-dE-C-P(4-OH)-Y(3-Cl)-D-L-C-W-I-Q (SEQ ID
NO:10), W-dE-C-P(4-OH)-Y(3-Cl)-D-L-C-Y-I-Q (SEQ ID NO:11), F(4-OMe)-H-C-P(4-
OH)-Y(3-Cl)-D-L-C-H-I-L (SEQ ID NO: 12), Y-H-C-P(4-OH)-Y(3-Cl)-G-L-C-W-I-Q
(SEQ ED NO: 13), W-dE-C-P-Y(3-Cl)-G-L-C-W-I-Q (SEQ ID NO: 14), W-dE-C-P(4-
OH)-Y-G-L-C-W-I-Q (SEQ ID NO:15), and F-H-C-P-(4-OH)-Y(3-Cl)-D-L-C-H-I-L
(SEQ ID NO: 16). The peptides can be capable of forming a disulfide bond under non-
reducing conditions, and in some embodiments, the peptides include a disulfide bond.
The peptides can have specific binding affinity for fibrin. Compounds of the invention
can include such peptides linked to a thrombolytic agent.
In some embodiments, P* is proline; Y* is tyrosine; X1* is selected from the group
consisting of W, Y, F, S, Bip, Hx, Dpr, Cy, Gu, Ad, Hfe, 3-Pal, 4-Pal, DopaMe2, nTyr,
dW, dF, F(3/4*), and Y(3*), wherein F3/4* is a phenylalanine substituted at either the 3 or
the 4 position with a moiety selected from the group consisting of CH3, CF3, NH2,
CH2NH2, CN, F, Cl, Br, I, Et, and OMe, and wherein Y3* is a tyrosine substituted at the 3
position with a moiety selected from the group consisting of F, Cl, Br, I, and NO2; X2 is
selected from the group consisting of dE, H(Bzl), 2-Pal, Dpr, and Th; X3 is selected from
the group consisting of G and D; X4 is selected from the group consisting of H, F, Y, and
W; X5 is selected from the group consisting of I, L, V, N, Bpa, Bal, Hfe, Nle, Tie, nVal,
Phg, Cha, Taz, Fua, Th, 4-Pal, and F(3/4*), wherein F3/4* is a phenylalanine substituted
at either the 3 or the 4 position with a moiety selected from the group consisting of CF3,
Et, iPr, and Ome, wherein at least one of X1, X2, or X5 is a non-natural amino acid
derivative; and X6' is selected from the group consisting of N, Q, I, L, and V, or X6' is not
present Such peptides can be capable of forming a disulfide bond under non-reducing

conditions, and in some embodiments, the peptides include a disulfide bond. The
peptides can have specific binding affinity for fibrin.
In other embodiments, the invention features purified peptides that include the
amino acid sequence: C-P*-Y*-X1-L-C(SEQ ID NO: 3), wherein X1 is G or D, P*
is proline or its non-naturaderivative 4-hydroxyproline; and Y* is tyrosine or a non-
natural derivative of tyrosine substituted at the 3 position with a moiety selected from the
group consisting of F, C1, Br, I, and NO2; provided that at least one of P* or Y* is a non-
natural derivative of the respective amino acid. The purified peptides can be capable of
forming a disulfide bond under non-reducing conditions and can have specific binding
affinity for fibrin. In some embodiments, the peptides include a disulfide bond.
Compounds of the invention can include such peptides linked to a thrombolytic agent
The invention also features purified peptides that include the amino acid
sequence: C-D-Y-Y-G-T-C-X10 (SEQ ID. NO:17), wherein X10 is selected from the group
consisting of n(decyl)G, n(4-PhBu)G, MeL, Bpa, Bip, Me-Bip, F(4*), F(3-Me), F(3,4-
difluoro), Aran, Hfe, Y(3, 5-di-iodo), Pff, INal, dlNal, and MeL, wherein F(4*) is a
phenylalanine substituted at the 4 position with a moiety selected from the group
consisting of Et, CF3,1, and iPr. Purified peptides can include the amino acid sequence
C-D-Y-Y-G-T-C-X10-Xn (SEQ ID. NO:18), wherein X11 is selected from the group
consisting of D, dD, βD, Inp, Nip, Me-D, dC, Cop, and Cmp. For example, a peptide can
have the follow amino acid sequences: L-P-C-D-Y-Y-G-T-C-n(Decyl)G-dD (SEQ ED
NO:19), L-P-C-D-Y-Y-G-T-C-n(Decyl)G-D (SEQ ID NO:20), L-P-C-D-Y-Y-G-T-C-Bip-
D (SEQ ID NO:21), L-P-C-D-Y-Y-G-T-C-Bip-dD (SEQ ID NO:22), L-P-C-D-Y-Y-G-T-
C-MeL-Inp (SEQ ID NO:23), L-P-C-D-Y-Y-G-T-C-MeL-Cmp (SEQ ID NO:24), or L-P-
C-D- Y- Y-G-T-C-MeBip-D (SEQ ID NO:25). The purified peptides can be capable of
forming a disulfide bond under non-reducing conditions and can have specific binding
affinity for fibrin. In some embodiments, the peptides include a disulfide bond.
Compounds of the invention can include such peptides linked to a thrombolytic agent
In another aspect, the invention features a method of making an MR imaging
agent The method includes reacting a peptide having an N-terminal amine functional
group with a linker-subunit moiety to form a modified peptide having both a C-terminal
amine functional group and N-terminal amine functional group; covalently attaching a

linker moiety to the C-terminal amine functional group and to the N-terminal amine
functional group to form a precursor MR imaging agent; and converting the precursor
MR imaging agent to the MR imaging agent The linker-subunit moiety can be selected
from the group consisting of:

wherein n is an integer from 1 to 4; m is an integer selected 1 to 12; and R is an aliphatic
or aromatic group. The linker moiety can be selected from the group consisting of

wherein m is an integer from 1 to 4; n is an integer from 0 to 4; LG is a leaving group;
and R' and R" independently are selected from the group consisting of hydrogen and a
chemical protecting group.

The linker moiety also can be selected from the group consisting of:

wherein LG is a leaving group; and R1 and R2 independently are selected from the group
consisting of hydrogen and a chemical protecting group. The LG can be selected from
the group consisting of-OH, activated ester, halide, and anhydride. The activated ester
can be selected from the group consisting of pentafluorophenol (Pfp), N-
hydroxysuccinimide (NHS), N-Hydroxysulfosuccinimide Sodium Salt (NHSS), 2-
Thioxothiazolidin-1yl, and hydroxybenzotriazole (OBT). The halide can be selected from
the group consisting of F, Cl, Br, and I. The chemical protecting group can be selected
from the group consisting of Boc, Fmoc, CBZ, t-butyl, benzyl, and allyl.
Converting the precursor MR imaging agent to the MR imaging agent can include
reacting the precursor imaging agent with a precursor chelate moiety to form a covalent
bond between the precursor chelate moiety and the linker moiety of the precursor MR
imaging agent, the precursor chelate moiety comprising a plurality of carboxylate
precursor groups, the carboxylate precursor groups capable of being transformed into
carboxylate moieties; fransforming a plurality of the carboxylate precursor groups of the
bound precursor chelate moiety to a plurality of carboxylate moieties, the carboxylate
moieties capable of complexing a paramagnetic metal ion; and complexing a
paramagnetic metal ion to the plurality of carboxylate moieties to produce the MR
imaging agent. The precursor chelate moiety can be selected from the group consisting
of:


wherein Y is a synthetic moiety capable of forming a covalent bond with the attached
linker moiety, and wherein each X, independently, is an O- or an O- precursor so that X,
upon conversion to O-, is capable of forming a carboxylate moiety with its adjacent

carbonyl, and R1 is an uncharged chemical moiety, an aliphatic, alkyl group, or cycloalkyl
group, or uncharged substituted versions thereof. The synthetic moiety can be selected
from the group consisting of a carboxylic acid, activated ester, acid halide, anhydride,
alkyl halide, isocyanate, and isothiocyanate, and wherein the O" precursor is selected from
the group consisting of-OH, -OMe, OEt, OtBu, Obenzyl, and O-allyl. The precursor
chelate moiety also can be selected from the group consisting of:

wherein LG is a leaving group selected from the group consisting of-OH, activated ester,
halide, and anhydride, and wherein each R, independently, is an O" or an O" precursor
selected from the group consisting of OH, -O-Me, O-Et, O-tBu, O-benzyl, and O-allyl, so
that R, upon conversion to O", is capable of forming a carboxylate moiety with its
adjacent carbonyl.
The precursor chelate moiety also can be selected from the group consisting of:


wherein n is an integer from 1 to 4; R is selected from the group consisting of a negative
charge and a negative charge precursor capable of being transformed into a negative
charge; and X is a chemical leaving group selected from the group consisting of -Cl, -Br, -
I,-MsO,-TsO,and-TfO.
The precursor chelate moiety can be selected from the group consisting of:


wherein R is selected from the group consisting of a negative charge and a negative
charge precursor capable of being transformed into a negative charge; and X is a chemical
leaving group selected from the group consisting of-Cl, -Br, -I, -MsO, -TsO, and -TfO.
The negative charge precursor is selected from the group consisting of-H, -Me, -Et, -t-
Bu, -benzyl, and -allyl.
In some embodiments, the linker moiety can be covalently conjugated to a
precursor chelate moiety, the covalent conjugate comprising a plurality of carboxylate
precursor groups, the carboxylate precursor groups capable of being transformed into
carboxylate moieties. Converting the precursor MRI imaging agent to the MR imaging
agent can include transforming a plurality of the covalent conjugate's carboxylate
precursor groups into carboxylate moieties, the carboxylate moieties capable of
complexing a paramagnetic metal ion; and complexing a paramagnetic metal ion to the
plurality of carboxylate moieties to result in the MR imaging agent The paramagnetic
metal ion can be selected from the group consisting of: Gd(III), Fe(III), Mn(II and III),
Cr(III), Cu(II), Dy(III), Tb(III) and IV), Ho(III), Er(III), Pr(III), Eu(II) and Eu(III).
Gd(III) is a particularly useful paramagnetic ion.

The covalent conjugate can be selected from the group consisting of

wherein n is an integer from 1 to 4; LG is a leaving group selected from the group
consisting of-OH, activated ester, halide, and anhydride; and R1, R2, R3, R4' and R5 are
independently selected from the group consisting of an acetate moiety, a-Me, -Et, or -t-
Bu protected acetate moiety, an acetamide moiety, and an acetoxy moiety.
The covalent conjugate also can be selected from the group consisting of:


wherein LG is a leaving group selected from the group consisting of-OH, activated ester,
halide, and anhydride; and R1, R2, R3, and R4 are selected from the group consisting of an
acetate moiety, a -Me, -Et, or -t-Bu protected acetate moiety, an acetamide moiety, and an
acetoxy moiety.
The covalent conjugate can be selected from the group consisting of:
Synthon 1:




R is a -tBu group, LG is a leaving group selected from the group consisting of-OH,
activated ester, halide, and anhydride.
Methods of the invention further can include, before covalently attaching a linker
moiety to the C- and N-terminal amine functional groups, reacting a linker-subunit with
the N-terminal amine functional group of the peptide to produce a derivatized N-terminal
amine functional group of the peptide. The linker-subunit can be selected from the group
consisting of:

wherein Base is selected from the group consisting of adenosine, guanosine, thymine, and
cytosine; LG is a leaving group selected from the group consisting of OH, activated ester,
halide, and anhydride; and R is an aliphatic or aromatic moiety. The linker-subunit also
can be selected from the group consisting of:

wherein n is independently an integer from 0 to 3; R is an aliphatic or aromatic group;
and LG is a leaving group selected from the group consisting of: OH, activated ester,
halide, and anhydride.

The linker-subunit also can be selected from the group consisting of:

wherein n is independently 1 or 2; R is an aliphatic or aromatic group; and LG is a
leaving group selected from the group consisting of: OH, activated ester, halide, and
anhydride.
In another aspect, the invention features a method of making a MR imaging agent.
The method includes covalently binding an amino acid residue to a linker-subunit moiety
to form a C-terminal end of a peptide, wherein the linker-subunit moiety is covalently
attached to a resin; synthesizing a peptide on the resin from the covalently bound C-
terminal end to an N-terminal residue of the peptide, the N-terminal residue comprising
an N-terminal amine functional group; cleaving the peptide from the resin to produce a
peptide having a C-terminal amine functional group; covalently attaching a linker moiety
to the peptide's C-terminal amine functional group and N-terminal amine functional
group to form a precursor MR imaging agent; and converting the precursor MR imaging
agent to the MR imaging agent. The method further can include before cleaving the
peptide from the resin, covalently attaching a linker-subunit moiety to the N-terminal
amino functional group to produce a derivatized N-terminal amine functional group. The
linker moiety can be covalently conjugated to a precursor chelate moiety, the covalent
conjugate comprising a plurality of carboxylate precursor groups, the carboxylate
precursor groups capable of being transformed into carboxylate moieties.
Converting the precursor MR imaging agent to the MR imaging agent can include
reacting the precursor MR imaging agent with a precursor chelate moiety to form a
covalent bond between the precursor chelate moiety and the linker moiety of the
precursor MR imaging agent, the precursor chelate moiety comprising a plurality of
carboxylate precursor groups, the carboxylate precursor groups capable of being

transformed into carboxylate moieties; transforming a plurality of the carboxylate
precursor groups of the bound precursor chelate moiety to a plurality of carboxylate
moieties, the carboxylate moieties capable of complexing a paramagnetic metal ion; and
complexing a paramagnetic metal ion to the plurality of carboxylate moieties to produce
the MR imaging agent.
Converting the precursor MRI imaging agent to the MR imaging agent also can
include transforming a plurality of the covalent conjugate's carboxylate precursor groups
into carboxylate moieties, the carboxylate moieties capable of complexing a paramagnetic
metal ion; and complexing a paramagnetic metal ion to the plurality of carboxylate
moieties to result in the MR imaging agent The paramagnetic metal ion can be selected
from the group consisting of: Gd(III), Fe(III), Mn(II and III), Cr(III), Cu(II), Dy(III),
Tb(III and IV), Ho(III), Er(III), Pr(III), Eu(II) and Eu(III). Gd(III) is a particularly useful
paramagnetic metal ion.
In another aspect, the invention features a method of making a MR imaging agent
that includes reacting a peptide having a C-tetminal carboxylate functional group with a
linker-subunit moiety to form a modified peptide having both a C-terminal carboxylate
functional group and an N-terminal carboxylate functional group; covalently attaching a
linker moiety to both the N-terrninal and C-terminal carboxylate functional groups of the
modified peptide to form a precursor MR imaging agent; and converting the precursor
MR imaging agent to the MR imaging agent The linker-subunit moiety can be selected
from the group consisting of:

wherein LG is a leaving group selected from the group consisting of OH, activated ester,
halide, and anhydride; and R is an aromatic or aliphatic group. The linker moiety also
can be selected from the group consisting of:


wherein m is an integer from 1 to 4; n is an integer from 0 to 4; R is independently
selected from the group consisting of-H, -Me, -Et, -Bz, and -4Bu; and R1 and R2 are
independently selected from a hydrogen or a chemical protecting group.
The linker moiety can be selected from the group consisting of:

wherein R1 and R2 are selected independently from the group consisting of hydrogen and
a chemical protecting group, the chemical protecting group selected from the group
consisting of: Boc, Fmoc, CBZ, t-butyl, benzyl, and allyl.
Converting the precursor MR imaging agent to the MR imaging agent also can
include reacting the precursor MR imaging agent with a precursor chelate moiety in order
to form a covalent bond between the linker moiety of the precursor MR imaging agent
and the precursor chelate moiety, the precursor chelate moiety comprising a plurality of
carboxylate precursor groups, the carboxylate precursor groups capable of being
transformed into carboxylate moieties; transforming a plurality of the carboxylate
precursor groups of the bound precursor chelate moiety to a plurality of carboxylate
moieties, the carboxylate moieties capable of complexing a paramagnetic metal ion; and
complexing a paramagnetic metal ion to the plurality of carboxylate moieties to produce
the MR imaging agent The linker moiety can be covalently conjugated to a precursor
chelate moiety, the covalent conjugate comprising a plurality of carboxylate precursor
groups, the carboxylate precursor groups capable of being transformed into carboxylate
moieties.

Converting the precursor MR imaging agent to the MR imaging agent also can
include transforming a plurality of the covalent conjugate's carboxylate precursor groups
into carboxylate moieties, the carboxylate moieties capable of complexing a paramagnetic
metal ion; and complexing a paramagnetic metal ion to the plurality of carboxylate
moieties to produce the MR imaging agent.
A covalent conjugate can be selected from the group consisting of:

wherein n is an integer from 1 to 4; and R1, R2, R3, R4, and Rs are independently selected
from the group consisting of an acetate moiety, a -Me, -Et, or -t-Bu protected acetate
moiety, an acetamide moiety, and an acetoxy moiety. The covalent conjugate can be:


Converting the precursor MR imaging agent to the MR imaging agent also can
include reacting the precursor imaging agent -with a chelate moiety, wherein the chelate
moiety contains a paramagnetic metal ion, to form a covalent bond between the chelate
moiety and the linker moiety of the precursor MR imaging agent to produce the MR
imaging agent Suitable paramagnetic metal ions are described above.
In yet another aspect, the invention features a contrast agent that includes a metal
chelate complex at a-CO2R and NHR termini of a biopolymer (e.g., a peptide), wherein
R is independently selected from the group consisting of hydrogen, alkyl, aliphatic, and a
leaving group. The contrast agent can include two metal chelate complexes at the CO2R
and NHR termini of the biopolymer. The biopolymer can have a specific binding affinity
for fibrin. The peptide can be capable of forming a disulfide bond under non-reducing
conditions, and in some embodiments, includes a disulfide bond. A contrast agent can
have the formula:


wherein Chelate represents a metal chelate complex; Linker represents a linker moiety;
Linker-subunit represents a linker-subunit moiety; m is independently an integer from 1 to
10; p is independently an integer from 0 to 5; s is independently 0 or 1; R1 is an amino
acid side chain or a derivative thereof; and R2 is independently a hydrogen or an aliphatic
group. A contrast agent also can have a structure of any one of structures 4-55.
In another aspect, the invention features a method for altering the stability of a
peptide, the peptide having an N-terminal amine functional group. The method includes
reacting the peptide with a linker-subunit moiety to form a peptide having a C-terminal
amine functional group; and covalently attaching a linker moiety to the peptide's C-
terminal amine functional group and N-terminal amine functional group to form a
modified peptide. The method further can include reacting the modified peptide with a
capping moiety to form a covalent bond between the capping moiety and the linker
moiety of the modified peptide. The method also can include reacting the modified
peptide with a precursor chelate moiety to form a covalent bond between the precursor
chelate moiety and the linker moiety of the modified peptide, the precursor chelate moiety
comprising a plurality of carboxylate precursor groups, the carboxylate precursor groups
capable of being transiormed into carboxylate moieties. After transforming a plurality of
the carboxylate precursor groups of the bound precursor chelate moiety to a plurality of
carboxylate moieties, the carboxylate moieties capable of complexing a paramagnetic
metal ion; a paramagnetic metal ion can be complexed to the plurality of carboxylate
moieties. The method further can include assaylng the stability of the modified peptide or
assaylng the stability of the unmodified peptide and comparing the stability of said
modified peptide to the stability of the unmodified peptide. Stability of the modified
peptide can be improved relative to the stability of the unmodified peptide (e.g., improved
10-fold, 20-fold, or 30-fold relative to the stability of the unmodified peptide). Stability
can be assayed using a rat liver homogenate assay.
In another aspect, the invention features a modified peptide having the structure:


wherein Chelate precursor represents a chelate precursor moiety; Linker represents a
linker moiety; Linker-subunit represents a linker-subunit moiety; m is independently an
integer from 1 to 10; p is independently an integer from 0 to 5;
s is independently 0 or 1; R1 is an amino acid side chain or a derivative thereof; and
R is selected from the group consisting of H and an aliphatic group.
In yet another aspect, the invention features a modified peptide having the
structure:

wherein Linker represents a linker moiety; Linker-subunit represents a linker-subunit
moiety; p is independently an integer from 0 to 5; s is independently 0 or 1; R1 is an
amino acid side chain or a derivative thereof; and R2 is selected from the group consisting
of H and an aliphatic group.
Method of making an MR imaging agent also are featured that include reacting a
peptide having an N-terminal amine functional group with a linker-subunit moiety to
form a modified peptide having an amine functional group on both its N-terminus and C-
terminus, or reacting a peptide having a C-terminal carboxylate functional group with a
linker-subunit moiety to form a modified peptide having a carboxylate functional group
on both its C-terminus and N-terminus; and converting the modified peptide to the MR
imaging agent Converting the modified peptide to the MR imaging agent can include
covalently attaching a chelate moiety to the modified peptide, wherein the chelate moiety
contains a paramagnetic metal ion, to produce the MR imaging agent. Converting the
modified peptide to the MR imaging agent also can include covalently linking a linker
moiety to a chelate moiety to form a covalent conjugate, wherein the chelate moiety
contains a paramagnetic metal ion; and reacting the covalent conjugate with the modified
peptide to form the MR imaging agent. Suitable paramagnetic ions are described above.
In another aspect, the invention features a method of making an MR imaging
agent that includes covalently binding an amino acid residue to a linker-subunit moiety to

form a C-terminal end of a peptide, wherein the linker-subunit moiety is covalently
attached to a resin; synthesizing a peptide on the resin from the covalently bound C-
terminal end to an N-terminal residue of the peptide, the N-terminal residue comprising
an N-terminal amine functional group; cleaving the peptide from the resin to produce a C-
terminal amine functional group of the modified peptide; converting the modified peptide
to the MR imaging agent. Converting the modified peptide to the MR imaging agent can
include covalently attaching a chelate moiety to the modified peptide, wherein the chelate
moiety contains a paramagnetic metal ion, to produce the MR imaging agent. Converting
the modified peptide to the MR imaging agent also can include covalently linking a linker
moiety to a chelate moiety to form a covalent conjugate, wherein the chelate moiety
contains a paramagnetic metal ion; and reacting the covalent conjugate with the modified
peptide to form the MR imaging agent Suitable paramagnetic ions are described above.
Unless otherwise defined, all technical and scientific terms used herein have the
same meaning as commonly understood by one of ordinary skill in the art to which this
invention pertains. Although methods and materials similar or equivalent to those
described herein can be used in the practice or testing of the present invention, suitable
methods and materials are described below. All publications, patent applications, patents,
and other references mentioned herein are incorporated by reference in their entirety. In
case of conflict, the present specification, including definitions, will control. In addition,
the materials, methods, and examples are illustrative only and not intended to be limiting.
Other features and advantages of the invention will be apparent from the
following detailed description, and from the claims.
DESCRIPTION OF DRAWINGS
FIG 1 provides the chemical structures of non-natural amino acids.
FIG 2 depicts the relaxivities per Gd at 20 MHz, 35°C in Tris buffered saline
(TBS) or 10 mg/ml fibrin in TBS.
FIG 3 depicts the accumulation of a contrast agent in the thrombus.
FIG 4 A is an image of a thrombus. FIG 4B is an image of a thrombus with black
blood.

DETAILED DESCRIPTION
Definitions
Commonly used chemical abbreviations that are not explicitly defined in this
disclosure may be found in The American Chemical Society Style. Guide, Second Edition;
American Chemical Society, Washington, DC (1997), "2001 Guidelines for Authors"
J. Org. Chem. 66(1), 24A (2001), "A Short Guide to Abbreviations and Their Use in
Peptide Science" J. Peptide. Sci. 5,465-471 (1999).
For the purposes of this application, the term "chemical protecting group" or
"protecting group" means any chemical moiety temporarily covalently bound to a
molecule throughout one or more synthetic chemistry steps in a reaction sequence to
prevent undesirable reactions. Common protecting group strategies are described in
"Protecting Groups in Organic Synthesis, Third Ed." by P. Wuts and T. Greene, © 1999
John Wiley & Sons, Inc.
For the purposes of this application, the term "leaving group" means any chemical
moiety that is displaced by a nucleophile in a nucleophilic substitution or sequence of
addition-elimination reactions. A molecule comprising a leaving group may be isolated
or it may be formed in situ as a transient intermediate in a chemical reaction.
For the purposes of this application, the term "aliphatic" describes any acyclic or
cyclic, saturated or unsaturated, branched or unbranched carbon compound, excluding
aromatic compounds.
The term "alkyl" includes saturated aliphatic groups, including straight-chain
alkyl groups (e.g., methyl, ethyl, propyl, butyl, pentyl, hexyl, heptyl, octyl, nonyl, decyl,
etc.), branched-chain alkyl groups (isopropyl, tert-butyl, isobutyl, etc.), cycloalkyl
(alicyclic) groups (cyclopropyl, cyclopentyl, cyclohexyl, cycloheptyl, cyclooctyl), alkyl
substituted cycloalkyl groups, and cycloalkyl substituted alkyl groups. The term alkyl
further includes alkyl groups, which can further include oxygen, nitrogen, sulfur or
phosphorous atoms replacing one or more carbons of the hydrocarbon backbone. In
certain embodiments, a straight chain or branched chain alkyl has 6 or fewer carbon
atoms in its backbone (e.g., C1-C6 for straight chain, C3-C6 for branched chain), and more
preferably 4 or fewer. Likewise, preferred cycloalkyls have from 3-8 carbon atoms in

their ring structure, and more preferably have 5 or 6 carbons in the ring structure. The
term C1-C6 includes alkyl groups containing 1 to 6 carbon atoms.
Moreover, the term "alkyl" includes both "unsubstituted alkyls" and "substituted
alkyls," the latter of which refers to alkyl moieties having substituents replacing a
hydrogen on one or more carbons of the hydrocarbon backbone. Such substituents can
include, for example, alkenyl, alkynyl, halogen, hydroxyl, alkylcarbonyloxy,
arylcarbonyloxy, alkoxycarbonyloxy, aryloxycarbonyloxy, carboxylate, alkylcarbonyl,
arylcarbonyl, alkoxycarbonyl, aminocarbonyl, alkylaminocarbonyl,
dialkylaminocarbonyl, alkylthiocarbonyl, alkoxyl, phosphate, phosphonato, phosphinato,
cyano, amino (including alkyl amino, dialkylamino, arylamino, diarylamino, and
alkylarylamino), acylamino (including alkylcarbonylamino, arylcarbonylamino,
carbamoyl and ureido), amidino, imino, sulfhydryl, alkylthio, arylthio, thiocarboxylate,
sulfates, alkylsulfinyl, sulfonate, sulfamoyl, sulfonamido, nitro, trifiuoromethyl, cyano,
azido, heterocyclyl, alkylaryl, or an aromatic or heteroaromatic moiety. Cycloalkyls can
be further substituted, e.g., with the substituents described above. An "arylalkyl" moiety
is an alkyl substituted with an aryl (e.g., phenylmethyl (benzyl)). The term "alkyl" also
includes the side chains of natural and unnatural amino acids. The term "n-alkyl" means
a straight chain (i.e., unbranched) unsubstituted alkyl group.
The term "alkenyl" includes aliphatic groups that may or may not be substituted,
as described above for alkyls, containing at least one double bond and at least two carbon
atoms. For example, the term "alkenyl" includes straight-chain alkenyl groups (e.g.,
ethylenyl, propenyl, butenyl, pentenyl, hexenyl, heptenyl, octenyl, nonenyl, decenyl, etc.),
branched-chain alkenyl groups, cycloalkenyl (alicyclic) groups (cyclopropenyl,
cyclopentenyl, cyclohexenyl, cycloheptenyl, cyclooctenyl), alkyl or alkenyl substituted
cycloalkenyl groups, and cycloalkyl or cycloalkenyl substituted alkenyl groups. The term
alkenyl further includes alkenyl groups that include oxygen, nitrogen, sulfur or
phosphorous atoms replacing one or more carbons of the hydrocarbon backbone. In
certain embodiments, a straight chain or branched chain alkenyl group has 6 or fewer
carbon atoms in its backbone (e.g., C2-C6 for straight chain, C3-C6 for branched chain).
Likewise, cycloalkenyl groups may have from 3-8 carbon atoms in their ring structure,

and more preferably have 5 or 6 carbons in the ring structure. The term C2-C6 includes
alkenyl groups containing 2 to 6 carbon atoms.
Moreover, the term alkenyl includes both "unsubstituted alkenyls" and
"substituted alkenyls," the latter of which refers to alkenyl moieties having substituents
replacing a hydrogen on one or more carbons of the hydrocarbon backbone. Such
substituents can include, for example, alkyl groups, alkynyl groups, halogens, hydroxyl,
alkylcarbonyloxy, arylcarbonyloxy, alkoxycarbonyloxy, aryloxycarbonyloxy,
carboxylate, alkylcarbonyl, arylcarbonyl, alkoxycarbonyl, aminocarbonyl,
alkylaminocarbonyl, dialkylaminocarbonyl, alkyltbiocarbonyl, alkoxyl, phosphate,
phosphonato, phosphinato, cyano, amino (including alkyl amino, dialkylamino,
arylamino, diarylamino, and alkylarylamino), acylamino (including alkylcarbonylarnino,
arylcarbonylamino, carbamoyl and ureido), amidino, imino, sulfhydryl, alkylthio,
arylthio, thiocarboxylate, sulfates, alkylsulfinyl, sulfonato, sulfamoyl, sulfonamido, nitro,
trifluoromethyl, cyano, azido, heterocyclyl, alkylaryl, or an aromatic or heteroaromatic
moiety.
The term "alkynyl" includes unsaturated aliphatic groups analogous in length and
possible substitution to the alkyls described above, but which contain at least one triple
bond and two carbon atoms. For example, the term "alkynyl" includes straight-chain
alkynyl groups (e.g., ethynyl, propynyl, butynyl, pentynyl, hexynyl, heptynyl, octynyl,
nonynyl, decynyl, etc.), branched-chain alkynyl groups, and cycloalkyl or cycloalkenyl
substituted alkynyl groups. The term alkynyl further includes alkynyl groups that include
oxygen, nitrogen, sulfur or phosphorous atoms replacing one or more carbons of the
hydrocarbon backbone. In certain embodiments, a straight chain or branched chain
alkynyl group has 6 or fewer carbon atoms in its backbone (e.g., C2-C6 for straight chain,
C3-C6 for branched chain). The term C2-C6 includes alkynyl groups containing 2 to 6
carbon atoms.
In general, the term "aryl" includes groups, including 5- and 6-membered single-
ring aromatic groups that may include from zero to four heteroatoms, for example,
benzene, phenyl, pyrrole, furan, thiophene, thiazole, isothiaozole, imidazole, triazole,
tetrazole, pyrazole, oxazole, isooxazole, pyridine, pyrazine, pyridazine, and pyrimidine,
and the like. Furthermore, the term "aryl" includes multicyclic aryl groups, e.g., tricyclic,

tricyclic, such as naphthalene, benzoxazole, benzodioxazole, benzothiazole,
benzoimidazole, benzothiophene, methylenedioxyphenyl, quinoline, isoquinoline,
napthridine, indole, benzofuran, purine, benzofuran, deazapurine, or indolizine. Those
aryl groups having heteroatoms in the ring structure may also be referred to as."aryl
heterocycles," "heterocycles," "heteroaryls," or "heteroaromatics." An aryl group may be
substituted at one or more ring positions with substituents.
For the purposes of this application, "DTPA" refers to a chemical compound
comprising a substructure composed of diethylenetriamine, wherein the two primary
amines are each covalently attached to two acetyl groups and the secondary amine has
one acetyl group covalently attached according to the following formula:

wherein X is a heteroatom electron-donating group capable of coordinating a
metal cation, preferably O", OH, NH2, OPO32, or NHR, or OR wherein R is any aliphatic
group. When each X group is tert-butoxy (tBu), the structure may be referred to as
"DTPE"("E" for ester).
For the purposes of this application, "DOTA" refers to a chemical compound
comprising a substructure composed of 1,4,7,11-tetraazacyclododecane, wherein the
amines each have one acetyl group covalently attached according to the following
formula:
wherein X is defined above.
For the purposes of this application, "NOTA" refers to a chemical compound
comprising a substructure composed of 1,4,7-triazacyclononane, wherein the amines each
have one acetyl group covalently attached according to the following formula:


wherein X is defined above.
For the purposes of this application, "D03A" refers to a chemical compound
comprising a substructure composed of 1,4,7,11-tetraazacyclododecane, wherein three of
the four amines each have one acetyl group covalently attached and the other amine has a
substituent having neutral charge according to the following formula:

wherein X is defined above and R1 is an uncharged chemical moiety, preferably
hydrogen, any aliphatic, alkyl group, or cycloalkyl group, and uncharged derivatives
thereof. The preferred chelate "HP"-DO3A has R1 = -CH2(CHOH)CH3.
In each of the four structures above, the carbon atoms of the indicated ethylenes
may be referred to as "backbone" carbons. The designation "bbDTPA" may be used to
refer to the location of a chemical bond to a DTPA molecule ("bb" for "back bone").
Note that as used herein, bb(CO)DTPA-Gd means a CO moiety bound to an ethylene
backbone carbon atom of DTPA
The terms "chelating ligand," "chelating moiety," and "chelate moiety" may be
used to refer to any polydentate ligand which is capable of coordinating a metal ion,
including DTPA (and DTPE), DOTA, DOS A, or NOTA molecule, or any other suitable
polydentate chelating ligand as is further defined herein, that is either coordinating a
metal ion or is capable of doing so, either directly or after removal of protecting groups,
or is a reagent, with or without suitable protecting groups, that is used in the synthesis of
a contrast agent and comprises substantially all of the atoms that ultimately will
coordinate the metal ion of the final metal complex. The term "chelate" refers to the

actual metal-Iigand complex, and it is understood that the polydentate Iigand will
eventually be coordinated to a medically useful metal ion.
The term "specific binding affinity' as used herein, refers to the capacity of a
contrast agent to be taken up by, retained by, or bound to a particular biological
component to a greater degree than other components. Contrast agents that have this
property are said to be "targeted" to the "target" component Contrast agents that lack
this property are said to be "non-specific" or "non-targeted" agents. The specific binding
affinity of a binding group for a target is expressed in terms of the equilibrium
dissociation constant "Kd."
The term "relaxivity" as used herein, refers to the increase in either of the MRI
quantities 1/T1 or 1/T2 per millimolar (mM) concentration of paramagnetic ion or
contrast agent, which quantities may be different if the contrast agent contains a
multiplicity of paramagnetic ions, wherein Tl is the longitudinal or spin-lattice,
relaxation time, and T2 is the transverse or spin-spin relaxation time of water protons or
other imaging or spectroscopic nuclei, including protons found in molecules other than
water. Relaxivity is expressed in units of mM-1s-1.
The term "open coordination site" as used herein refers to a site on a metal ion
that is generally occupied by a water or solvent molecule.
As used herein, the term "purified" refers to a peptide that has been separated
from either naturally occurring organic molecules with which it normally associates or,
for a chemically-synthesized peptide, separated from any other organic molecules present
in the chemical synthesis. Typically, the polypeptide is considered "purified" when it is
at least 70% (e.g., 70%, 80%, 90%, 95%, or 99%), by dry weight, free from any other
proteins or organic molecules.
As used herein, the term "peptide" refers to a chain of amino acids that is about 2
to about 75 amino acids in length (e.g., 3 to 50 amino acids).
As used herein, the term "biopolymer" refers to a polymeric substance that is
naturally formed in a biological system. Certain biopolymers can be constructed from a
defined set of building subunits and with common functionalities linking the subunits,
e.g., a peptide is usually constructed from a set of amino acids (both natural and non-
natural) with amide bonds linking the subunits.

The term "multimer" for purposes herein is defined as a contrast agent or a
subunit thereof comprising at least two covalently bonded chelates or synthetic precursors
thereof.
As used herein, the term "natural" or "naturally occurring" amino acid refers to
one of the twenty most common occurring amino acids. Natural amino acids modified to
provide a label for detection purposes (e.g., radioactive labels, optical labels, or dyes) are
considered to be natural amino acids. Natural amino acids are referred to by their
standard one- or three-letter abbreviations.
The term "non-natural amino acid" or "non-natural" refers to any derivative of a
natural amino acid including D forms, and β and γ amino acid derivatives. It is noted that
certain amino acids, e.g., hydroxyproline, that are classified as a non-natural amino acid
herein, may be found in nature within a certain organism or a particular protein.
The term "stable," as used herein, refers to compounds that possess stability
sufficient to allow manufacture and which maintains the integrity of the compound for a
sufficient period of time to be useful and safe for the purposes detailed herein. Typically,
such compounds are stable at a temperature of 40ºC or less, in the absence of moisture or
other chemically reactive conditions, for at least a week. Combinations of substituents
and variables envisioned by this invention are only those that result in the formation of
stable compounds.
The terms "target binding" and "binding" for purposes herein refer to non-
covalent interactions of a contrast agent with a target. These non-covalent interactions
are independent from one another and may be, inter alia, hydrophobic, hydrophilic,
dipole-dipole, pi-stacking, hydrogen bonding, electrostatic associations, or Lewis acid-
base interactions.
The term "capping moiety" refers to a chelate, organic dye, contrast agent,
thrombolytic, or stabilizing moiety. Suitable stabilizing moieties are biologically inert,
i.e., does not have biological activity.
Contrast Agents
In general, the present invention relates to MRI, optical, and radionuclide contrast
agents that include a targeting polymer (e.g., peptide) in which both the N- and C-

terminal amino acids are each conjugated, either directly or via an optional intervening
linker-subunit and linker, to at least one chelate of a paramagnetic (for magnetic
resonance imaging) or radioactive (for radionuclide imaging) metal ion or an optical dye
(for optical imaging). As further exemplified herein, the linker or linker-subunit may be
branched and therefore allow for multiple chelates or dyes to be attached to each end of
the peptide, i.e. a multimer. The compounds of this invention may contain one or more
asymmetric carbon atoms and thus may occur as racemates and racemic mixtures, single
enantiomers, diastereomeric mixtures and individual diastereomers. All such isomeric
forms of these compounds are expressly included in the present invention. Each
stereogenic carbon may be of the R or S configuration unless specifically designated
otherwise. Although the specific compounds exemplified in mis application may be
depicted in a particular stereochemical configuration, compounds having either the
opposite stereochemistry at any given chiral center or mixtures thereof are also
envisioned. It should be understood that the compounds of this invention may adopt a
variety of conformational and ionic forms in solution, in pharmaceutical compositions
and in vivo. Although the depictions herein of specific preferred compounds of this
invention are of particular conformations and ionic forms, the disclosure of the invention
is not so limited.
Novel peptide-based multimers of the present invention offer several advantages
as targeted contrast agents.
1. The compounds can deliver two or more capping moieties (e.g., chelates,
organic dyes, or thrombolytics) to the target using a single targeting peptide
so that sufficient improvement in the tissue contrast will be observed in part
because of a meaningful concentration of the imaging moiety around the
target.
2. The MRI contrast agents of this invention also exhibit a high relaxivity upon
binding to the target due to the receptor induced magnetic enhancement
(RIME) effect combined with the ability of the peptide to limit the local
motion of individual chelates when bound to the target.
3. The compounds have a high affinity for one or more targets.

4. Since the compounds are relatively easy to synthesize according to the
methods described herein and only one peptide per molecule is required, a
multiplicity of metal ions or organic dyes may be delivered to a target more
economically.
5. The compounds of the invention can have higher in vivo stability (i.e., longer
half-lives) from diminished enzyme metabolism (e.g., decreased cleavage by
peptidases).
These favorable features of peptide-based multimers according to the present
invention make them useful targeted contrast agents.
The chemical structure of MRI and radionuclide contrast agents contemplated by
the invention may be illustrated by the formula:

wherein for each m, independently, 1≤m≤10, chelate represents a metal chelate
complex, p is independently an integer from zero to five; s is independently one or zero;
R1 is any amino acid side chain including side chains of non-natural amino acids; R2 is
any aliphatic group or hydrogen; and n is an integer from 3 to 50 inclusive. Alternately,
R1 and R2 may be taken together to form a ring structure (including proline and
substituted versions thereof). Linkers, if present, may be different
Metal ions preferred for MRI include those with atomic numbers 21-29,39-47, or
57-83, and, more preferably, a paramagnetic form of a metal ion with atomic numbers 21-
29,42,44, or 57-83. Particularly preferred paramagnetic metal ions are selected from the
group consisting of Gd(III), Fe(III), Mn(II and III), Cr(III), Cu(II), Dy(III), Tb(III and
IV), Ho(III), Er(III), Pr(III) and Eu(II and IE). Gd(III) is particularly useful. Note that,
as used herein, the term "Gd" is meant to convey the ionic form of the metal gadolinium;
such an ionic form can be written as GD(III), GD3+, gado, etc., with no difference in
ionic form contemplated.
For radionuclide imaging agents, radionuclides 90Y, 99mTo, 111nIn, 47Sc, 67Ga, 51Cr,
177mSn, 67Cu, 167Tm, 97Ru, 188Re, 177Lu, 199Au, 203Pb, and 141Ce are particularly useful.

Metal complexes with useful optical properties also have been described. See, Murru et
al., J. Chem. Soc. Chem. Comm. 1993,1116-1118. For optical imaging using chelates,
lanthanide chelates such as La(m), Ce(m), Pr(III), Nd(m), Pn(m), Sm(III), Eu(m),
Gd(III), Tb(III), Dy(III), Ho(III), Er(III),Tm(III), Yb(III) and Ln(III) are suitable. Eu(III)
and Tb(III) are particularly useful.
Metal chelates should not dissociate to any significant degree during the imaging
agent's passage through the body, including while bound to a target tissue. Significant
release of free metal ions can result in toxicity, which would generally not be acceptable.
In one embodiment, with reference to the above structure of a contrast agent, m is
2, n, s, R1, and R2 are defined as above, and the Linker moiety comprises:

The "Chelate" is preferably bb(CO)DTPA•Gd.
In another embodiment, with reference to the above structure of a contrast agent,
m is 2, n, s, R1, and R2 are defined as above, and the linker moiety comprises:

The "Chelate" moiety can be bb(CO)DTPA•Gd.
For the purposes of illustration, one contrast agent contemplated by the instant
invention is presented below with the various subunits annotated:


wherein R = amino acid side chains such that the peptide has affinity for a biological
target, and m = metal ion (paramagnetic for MRI, radioactive for radionuclide imaging,
and fluorescent, luminescent, or absorbant for optical imaging).
The chemical structure of optical contrast agents contemplated by the invention
may be illustrated by the formula:

wherein l≤n≤10, p is independently an integer from zero to five, n is 3 to 50
inclusive, R1 is any amino acid side chain including non-natural amino acid side chains,
and R2 is any aliphatic group or hydrogen. Alternatively, R1 and R2 taken together form a
ring structure (including Pro and derivatives thereof. The N- and C-terminal amino acids
of the peptide can be conjugated to the optical dye directly or via an optional linker (e.g.,
p = 0 or 1). The linker moieties can be different

The optical dye may be an organic dye or an appropriate metal chelate. Organic
dyes suitable for optical imaging have been described and include, for example,
fluorescent porphyrin and fluorescent phthalocyanines [see, e.g., U.S. Patent No.
5,641,878], particulate materials [see, e.g., WO 96/23524], and polymethine dyes [see,
e.g., WO 97/13490]. Commonly used optical organic dyes are fluorescein, rhodamine
[see, e.g., Kojima H, et al., Anal. Chem. 73,1967-1973 (2001)], tetramethylrhodamine
[e.g., Anal. Biochem. 223,39 (1994)], and Texas red [e.g., Proc. Natl. Acad. Sci. USA
85,3546 (1988)]. Fluorescein and luminescent lanthanide chelates are particularly
useful.
Targets and Target Binding Peptides
The peptide moiety of the contrast agents of the present invention can exhibit
specific binding for a biological target and function as a point of attachment for one or
more chelates at each terminus. In general, biological targets are present in a low (e.g.,
micromolar or less) concentration and are inefficiently imaged using existing monomelic
gadolinium complex MPI contrast agents. The peptide-based multimeric MRI contrast
agents according to the instant invention, however, provide a much higher concentration
of the agent at the target as well as high relaxivity to make imaging of these targets
possible. Similarly, the peptide-based multimeric radionuclide contrast agents of the
invention may deliver more radionuclides to targets so that imaging can be further
improved. While not being bound to a particular mechanism, it is thought that targeting
creates an increased concentration of the imaging agent at the site to be imaged and
increases the relaxivity of MRI contrast agents in the bound state through the RIME effect
and also limits local chelate motion by rigidifylng the bound peptide.
Targets for the contrast agents can be in any body compartment, cell, organ, or
tissue or component thereof. Preferred targets are those that are of diagnostic and
therapeutic relevance, i.e., those that are associated with disease states. Particularly
preferred targets are those in association with body fluids, and particularly those in
association with blood, plasma, lymph and fluids of the central nervous system. Other
preferred targets are proteins and receptors that either exist in high concentration or have

a large number of binding sites for certain ligands. Included among such target proteins
are enzymes and glycoproteins.
Human serum albumin (HSA) and fibrin are useful targets for MRI contrast
agents. For vascular blood pool imaging, serum albumin is a preferred target Since HSA
is present at high concentration in serum (approximately 0.6 mM) and binds a wide array
of molecules with reasonably high affinity, it is a preferred target plasma protein for blood
pool contrast agents. HSA is a particularly preferred target for cardiovascular imaging;
see U.S. Patent Application No. 08/875,365, filed July 24,1997, and WO 96/23526.
For imaging thrombi, fibrin is a preferred target because it is present in all clots
and it can be targeted without interfering with the normal thrombolytic process. For
additional details concerning target binding moieties that include fibrin-binding peptides,
see PCT Patent Application WO 01/09188.
Other protein targets include, but are not limited to, alpha acid glycoprotein,
fibrinogen, collagen, platelet GPIIb/IIIa receptor, chemotactic peptide receptor,
somatostatin receptors, vasoactive intestinal peptides (VIP) receptor, bombesin/Gastrin
release peptide receptor, and integrin receptors.
Suitable peptides for use in the invention include those capable of specifically
binding to the targets identified above. Included among such peptides are RGD-
containing peptides targeting platelet GPIIb/IIIa receptor for thrombus imaging,
chemotactic peptides targeting white blood cells for infection/inflammation imaging,
Octreotide and P-829 peptide targeting somastatin receptors for tumor imaging,
vasoactive intestinal peptides (VIP) targeting VTP receptor for tumor imaging, bombesin
analogs targeting bombesin/Gastrin release peptide receptor for tumor imaging, and
RGD-containing peptides targeting the integrin αvβ3 (vitronectin receptor) for tumor
imaging.
In principle, any peptide with an affinity for a biological target may be used in a
contrast agent of the invention. The peptide may be linear or cyclic. Ordinarily,
insoluble lipophilic peptides are considered unsuitable for pharmacological use, but such
peptides may be suitable according to the invention because addition of hydrophilic metal
chelates to the two termini of the peptide may increase solubility. For ease of synthesis

and cost considerations, it is preferred that the peptides have between 3 to 50 amino acids
(e.g., 3 to 30,3 to 20,3 to 15,5 to 30,5 to 20,5 to 15,10 to 12 amino acids in length).
In the targeting peptides of the invention, a great variety of amino acids can be
used. Suitable amino acids include natural and non-natural amino acids. Amino acids
with many different protecting groups appropriate for immediate use in the solid phase
synthesis of peptides are commercially available. In addition to the twenty most common
naturally occurring amino acids, the following non-natural amino acids or amino acid
derivatives may be constituents of the peptide targeting group of the invention (common
abbreviations in parentheses, see FIG. 1): β-Alanine (β-Ala), γ-Aminobutyric Acid
(GAB A), 2-Aminobutyric Acid (2-Abu), α,β-Dehydro-2-aminobutyric Acid (∆-Abu), 1-
Aminocyclopropane-1-carboxylic Acid (ACPC), Aminoisobutyric Acid (Aib), 2-Amino-
thiazoline-4-carboxylic Acid, 5-Aminovaleric Acid (5-Ava), 6-Aminohexanoic Acid (6-
Ahx), 8-Aminooctanoic Acid (8-Aoc), 11-Aminoundecanoic Acid (11-Aun), 12-
Aminododecanoic Acid (12-Ado), 2-Arninobenzoic Acid (2-Abz), 3-Aminobenzoic Acid
(3-Abz), 4-Aminobenzoic Acid (4-Abz), 4-Amino-3-hydroxy-6-methylheptanoic Acid
(Statine, Sta), Aminooxyacetic Acid (Aoa), 2-Aminotetraline-2-carboxylic Acid (Ate), 4-
Amino-5-cyclohexyl-3-hydroxypentanoic Acid (ACHPA), para-Aminophenylalanine (4-
NH2-Phe), Biphenylalanine (Bip),Para-Bromophenylalanine (4-Br-Phe), ortho-
Chlorophenylalanine (2-Cl-Phe), meta-Chlorophenylalanine (3-Cl-Phe),para-
Chlorophenylalanine (4-Cl-Phe), meta-Chlorotyrosine (3-Cl-Tyr), para-
Benzylphenylalanine (Bpa), tert-Butylglycine (Tle), Cyclohexylalanine (Cha),
Cyclohexylglycine (Chg), 2,3-Diaminopropionic Acid (Dpr). 2,4-Diaminobutyric Acid
(Dbu), 3,4-Dichlorophenylalanine (3,4-C12-Phe), 3,4-Diflurorphenylalanine (3,4-F2-Phe),
3,5-Diiodotyrosine (3,5-I2-Tyr), ortho-Fluorophenylalanine (2-F-Phe), meta-
Fluorophenylalanine (3-F-Phe),para-Fluorophenylalanine (4-F-Phe), meta-fluorotyrosine
(3-F-Tyr), Homoserine (Hse), Homophenylalanine (Hfe), Homotyrosine (Htyr), 5-
Hydroxytryptophan (5-OH-Trp), Hydroxyproline (Hyp),Para-Iodophenylalanine (4-1-
Phe), 3-Iodotyrosine (3-I-Tyr), Indoline-2-carboxylic Acid (Idc), Isonipecotic Acid (Inp),
meta-methyltyrosine (3-Me-Tyr), 1-Naphthylalanine (1-Nal), 2 Naphthylalanine (2-Nal),
Para-Nitrophenylalanine (4-NO2-Phe), 3-Nitrotyrosine (3-NO2-Tyr), Norleucine (Nle),
Norvaline (Nva), Ornithine (Orn), ortho-Phosphotyrosine (H2P03-Tyr),

Octahydroindole-2-carboxylic Acid (Oic), Penicillamine (Pen), Pentafluorophenylalanine
(F5-Phe), Phenylglycine (Phg), Pipecolic Acid (Pip), Propargylglycine (Pra),
Pyroglutamic Acid (pGlu), Sarcosine (Sar), Tetrahydroisoquinoline-3-carboxylic Acid
(Tic), and Thiazolidine-4-caiboxylic Acid (Thioproline, Th). Stereochemistry of amino
acids may be designated by preceding the name or abbreviation with the designation "D"
or "d" or "L" or "1" as appropriate. Additionally, αN-alkylated amino acids may be
employed, as well as amino acids having amine-containing side chains (such as Lys and
Orn) in which the amine has been acylated or alkylated.
Peptides of the invention can include the general formula P*-Y*-X1*-L* (SEQ ID
NO: 1), wherein P* is a proline or a non-natural derivative of proline, Y* is a tyrosine or a
non-natural derivative thereof, X1* is glycine or aspartic acid, or a non-natural derivative
of glycine or aspartic acid, and L* is leucine or a non-natural derivative thereof.
Typically, at least one of P*, Y*, X1*, or L* is a non-natural derivative of the respective
amino acid. For example, X1* can be glycine or aspartic acid, L* can be leucine, and at
least one of P* or Y* can be a non-natural derivative, such as hydroxyproline or a
tyrosine substituted at the 3 position with F, Cl, Br, I, or NO*.
A peptide of the invention also can include the general formula X1* - X2 - C - P*-
Y*-X3-L-C-X4-X5-X6 (SEQ ID NO:2), wherein P* is a proline or a non-natural
derivative thereof; Y* is a tyrosine or a non-natural derivative thereof; X1* is W, Y, F, S,
Bip, Hx, Dpr, Cy, Gu, Ad, Hfe, 3-Pal, 4-Pal, DopaMe2, nTyr, dW, dF, F(3/4*), orY(3*).
F(3/4*) can be a phenylalanine substituted at either the 3 or the 4 position with a moiety
such as CH3, CF3, NH2, CH2NH2, CN, F, Cl, Br, I, Et, or Ome. Y(3*) can be a tyrosine
substituted at the 3 position with a moiety such as F, Cl, Br, I, and NO2. X2 can be E, H,
dE, S, H(Bzl), 2-Pal, Dpr, or Th; X3 can be G or D; X, can be H, F, Y, or W; X5 can be I,
L, V, N, Bpa, Bal, Hfe, Nle, Tle, Nval, Phg, Cha, Taz, Fua, Th, 4-Pal, or F(3/4*), wherein
F(3/4*) is a phenylalanine substituted at either the 3 or the 4 position with a moiety such
as CF3, Et, iPr, or OMe; X6'' can be N, Q, I, L, or V, or not present Typically, at least one
of X1, X2, X5, P*, and Y* is a non-natural derivative of an amino acid. For example, P*
can be proline and Y* can be a non-natural derivative of tyrosine substituted at the 3
position with a moiety such as F, Cl, Br, I, or NO2. Alternatively, P* can be a non-natural

derivative of proline such as 4-hydroxyproIine and Y* can be tyrosine. Such peptides can
form a disulfide bond under non-reducing conditions.
Another example of a peptide that can bind fibrin includes the general formula C -
P* - Y*- X1* - L - C (SEQ ID NO:3), wherein X1* is G or D, P* is proline or its non-
natural derivative 4-hydroxyproline; Y* is tyrosine or a non-natural derivative of tyrosine
substituted at the 3 position with a moiety such as F, Cl, Br, I, or NO2. Typically, at least
one of P* or Y* is a non-natural derivative of the respective amino acid. For example,
the peptide can have the following sequences: W-dE-C-P(4-OH)-Y(3-Cl)G-L-C-W-I-Q
(SEQ ID NO:4), Y-dE-C-P(4-OH)-Y(3-Cl)-G-L-C-Y-I-Q (SEQ ID NO:5), Y-dE-C-P(4-
OH)-Y(3-Cl)-G-L-C-W-I-Q (SEQ ID NO:6), W-dE-C-P(4-OH)-Y(3-Cl)-G-L-C-Y-I-Q
(SEQ ID NO:7), W-dE-C-P(4-OH)-Y(3-Cl)-D-L-C-W-I-Q (SEQ ID NO:8), Y-dE-C-P(4-
OH)-Y(3-Cl)-D-L-C-Y-I-Q (SEQ ED NO:9), Y-dE-C-P(4-OH)-Y(3-Cl)-D-L-C-W-I-Q
(SEQ ID NO:10), W-dE-C-P(4-OH)-Y(3-Cl)-D-L-C-Y-I-Q (SEQ ID NO:11), F(4-OMe)-
H-C-P(4-OH)-Y(3-Cl)-D-L-C-H-I-L (SEQ ID NO: 12), Y-H-C-P(4-OH)-Y(3-C1)-G-L-C-
W-I-Q (SEQ ID NO:13), W-dE-C-P-Y(3-Cl)-G-L-C-W-I-Q (SEQ ID NO.14), W-dE-C-
P(4-OH)-Y-G-L-C-W-I-Q (SEQ ID NO: 15), or F-H-C-P-(4-OH)-Y(3-Cl)-D-L-C-H-I-L
(SEQ ID NO: 16). Such peptides can form disulfide bonds under non-reducing
conditions.
According to standard synthesis methods such as those disclosed in WO 01/09188
or in WO 01/08712, peptides having the sequence set forth in Table 1 were synthesized
(structure confirmed by mass spectrometry), cyclized, and assayed for affinity to the
DD(E) fragment of fibrin. Each peptide was found to have a Kd ≤10 μM ("-" indicates
truncation).







A peptide also can have the general formula C-D-Y-Y-G-T-C-X10 (SEQ ID.
NO:17), wherein X10 is n(decyl)G, n(4-PhBu)G, MeL, Bpa, Bip, Me-Bip, F(4*), F(3-Me),
F(3,4-difluoro), Amh, Hfe, Y(3,5-di-iodo), Pff, INal, dlNai, or MeL, wherein F(4*) is a
phenylalanine substituted at the 4 position with a moiety such as Et, CF3,1, or iPr. In
some embodiments, a peptide can include additional residues, X1, P*, and/or X11, to
provide the general formula: C-D-Y-Y-G-T-C-X10-Xu (SEQ ID. NO: 18) or X1-P*-C-D-
Y-Y-G-T-C-X10-X11 (SEQ ID. NO:26), wherein X1* is any natural or non-natural amino
acid, P* is proline or a non-natural derivative thereof, and X11 is D, dD, pD, Inp, Nip, Me-
D, Cop, or Cmp. For example, a peptide can have the sequence of L-P-C-D-Y-Y-G-T-C-
n(Decyl)G-dD (SEQ ID NO:19), L-P-C-D-Y-Y-G-T-C-n(Decyl)G-D (SEQ ID NO:20), L-
P-C-D-Y-Y-G-T-C-Bip-D (SEQ ID NO:21), L-P-C-D-Y-Y-G-T-C-Bip-dD (SEQ ID
NO:22), L-P-C-D-Y-Y-G-T-C-MeL-Inp (SEQ ID NO:23), L-P-C-D-Y-Y-G-T-C-MeL-
Cmp (SEQ ID NO:24), or L-P-C-D-Y-Y-G-T-C-MeBip-D (SEQ ID NO:25).
Peptides having the formula of SEQ ID NO:26 were synthesized (structure
confirmed by mass spectrometry) according to standard synthesis methods, such as those
disclosed in WO 01/09188 or in WO 01/08712, and assayed for affinity to the DD(E)
fragment of fibrin. Each peptide was found to have a Kd ≤ 10 μM (Table 2).


The ability of the peptides to bind a target such as HSA or fibrin can be assessed
by known methodology. For example, affinity of the peptide for fibrin can be assessed
using the DD(E) fragment of fibrin, which contains subunits of 55 kD (Fragment E) and
190 kD (Fragment DD). The DD(E) fragment can be biotinylated and immobilized via
avidin to a solid substrate (e.g., a multi-well plate). Peptides can be incubated with the
immobilized DD(E) fragment in a suitable buffer and binding detected using known
methodology. See, for example, WO 01/09188.
N- and C-Terminus Linker-subunits and Linker
If present, linker-subunits and linkers are used to covalently attach capping
moieties such as chelates, thrombolytics, and other groups to the two ends of a peptide. A
linker-subunit moiety can (i) convert the functionality of either the C-terminus
carboxylate to an amine functional group or the N-terminus amine to a carboxylate
functional group; or (ii) provide a spacer moiety or group between the peptide terminus
and the linker, if present, or capping group. In one embodiment, a peptide can be reacted
with a linker-subunit to form a modified peptide having a C-terminal amine functional
group and a N-terminal amine functional group. In another embodiment, a peptide can be
reacted with a linker-subunit to form a modified peptide having a N-terminal carboxylate
functional group and a C-terminal carboxylate functional group. In another embodiment,
a peptide can be synthesized from a C-terminal linker-subunit that is bound to a resin,
whereby upon cleaving the peptide from the resin, a peptide having a C-terminal amine
functional group is produced. In still another embodiment, a linker-subunit can be used
as a spacer group and not to change the terminus functional group. A linker-subunit may
have multiple functional groups for attachment of linker moieties or capping moieties.
Many types of reactions can be used, including acylation, reductive animation,
nucleophilic displacement reactions, urea formation, thiourea formation, and
chemoselective ligation in chemically conjugating the linker-subunit to the peptide,
linker, and/or capping moieties. One advantage of using a linker-subunit is to create
similar functional groups on the peptide, thereby facilitating subsequent synthesis.
The linker moiety can be used to covalently attach one or more capping moieties
to the peptide terminus. The linker may be branched or unbranched and may comprise

multiple functional groups for precursor chelate and chelate attachment The chemical
structure of the linker may affect the physical and pharmacological properties of the
contrast agent, such as affinity, stability, blood half-life, relaxivity, and plasma protein
binding. Linkers may be substituted with alkyl, aryl, alkenyl, or alkynyl groups. Linkers,
if present, at each termini, typically are relatively small and rigid for MRI contrast agents.
For example, a linker can have a molecular weight less than about 350 (e.g., less than
about 200).
An example of a C-terminal linker-subunit moiety and a C- and N-terminal linker
is illustrated in the following structure:

The C-terminus carboxylate of a peptide may be converted to an amine functional
group with a linker-subunit (e.g., a diamine synthon) to form a peptide having an amine
functional group on each end of the peptide to which the remaining linker moiety can be
attached. Examples of such peptides modified to have a C-terminal amine function group
are:




In some cases, the following linker-subunits may be employed as spacer groups at
the N-terminal amine functional group:
wherein "Base" is a purine or pyrimidine base ("Ad" = adenosine, "Gu" =
guanosine, "Th" = thymine, "Cy" = cytosine) and "LG" is a leaving group such as OH,
activated ester, halide, or anhydride.

Additionally, αN-alkylated amino acids may be employed, as well as amino acids
having amme-containing side chains (such as Lys and Orn) in which the amine has been
acylated or alkylated as in the following examples:

wherein n is an integer from 0 to 3, R is any aliphatic or aromatic group, and LG
is a leaving group such as OH, activated ester, halide, and anhydride.
Still more linker-subunits include the following:

wherein n is independently 1 or 2, R is any aliphatic or aromatic group, and LG is
a leaving group such as OH, activated ester, halide, and anhydride.
Examples of linker moieties that are useful when following an amide bond
construction strategy in which a peptide molecule has two terminal amine groups include
the following:


wherein each m is independently an integer from 1 to 4, n is independently an integer
from 0 to 4 inclusive, LG is a leaving group, and R' or R" are independently hydrogen or
a chemical protecting group.
A linker moiety also may have branch points for attachment of more than two
chelates. For example, when following an amide bond formation strategy, a linker that
includes a carbonyl with a leaving group LG (for example, a carboxylic acid or an
activated ester) and three or more protected amines can be reacted with a peptide amine to
create a molecule with three or more terminal amines. The following carbonyl-based
linker reagents may be appropriate for introducing three or more amine functional groups:


wherein LG is a leaving group (e.g:, -OH, activated ester such as
pentafluorophenol (Pfp), N-hydroxysuccinimide (NHS), N-hydroxysulfosuccinimide
sodium salt (NHSS), 2-thioxothiazolidin-lyl, or hydroxybenzotriazole (HBT) and R1 and
R2 are preferably independently hydrogen or a chemical protecting group (e.g.^Boc,
Fmoc, CBZ, t-butyl, benzyl, or allyl).
In other embodiments, an amine functional group at the N-tenninus of a peptide
may be converted to an N-terminus carboxylate functional group by reaction with a cyclic
acid anhydride (linker-subunit moiety) thereby producing a modified peptide with a N-
terminal carboxylate functional group:

Examples of other linker-subunits that can be used to convert an N-terminal amine
to a carboxylate functional group include:

wherein R is any aliphatic or aromatic group.
Subsequently, both terminal carboxylates in the above examples may be
simultaneously reacted with an amino group on a linker moiety as shown below to form a
precursor MR imaging agent. In this example, the precursor MR imaging agent is a
peptide molecule derivatized with linkers at both termini thru amide bonds:


Specific examples of additional linker moieties useful for producing precursor MR
imaging agents terminating with two carboxylates are:

wherein each m is independently 1 to 4 inclusive, n is independently 0 to 4 inclusive (e.g.,
n = 1 or 2), and R is hydrogen or an appropriate chemical protecting group, such as
methyl, ethyl, benzyl, or t-butyl. In these examples, following attachment of the linker-
subunits, the protecting groups can be removed and chelating or precursor chelating
moieties can be attached through standard methods, for example, amide bond formation.
When following an amide bond construction strategy in which a peptide molecule
is terminated with two carboxylates, the following linker reagents may be appropriate to
introduce three or more amine functional groups:


wherein R and R are independently hydrogen or a chemical protecting group
such as OS, Boc, Fmoc, CBZ, tbutyl, benzyl, or allyl.
Linker strategies that involve formation of amide bonds are useful because they
typically are compatible with the protecting groups on the peptide. As mentioned above,
the peptide, linker, and linker-subunits may be covalently attached to each other by
formation of other bond types (nucleophilic displacement, reductive amination and
thiourea formation, for example).
The linkers may also have effects on the properties of the contrast agents such as
affinity, pharmacokinetic properties, stability in vivo, and relaxivity.
Alternatively, a covalent conjugate that includes both a linker moiety and a
chelating or chelating precursor moiety can be reacted directly with a peptide with
appropriate terminal functionality. One example of such a covalent conjugate capable of
reacting with terminal carboxylate groups follows:

wherein n = 1 to 4, and R1, R2, R3, R4, and R5 are independently an acetate group,
acetamide group, or an acetoxy group.
Another example of such a covalent conjugate has the following structure:


wherein R1, R2, R3, R4, and R5 are independently an acetate group, acetamide
group, or an acetoxy group.
An example of a covalent conjugate useful for converting a modified peptide with
carboxylate functional groups at the two termini to a precursor imaging agent has the
following structure:


Examples of covalent conjugates capable of reacting with amine functional groups
on a modified peptide are:

wherein LG is a leaving group, n = 1 to 4, and R1, R2, R3, R4, and R5 are independently an
acetate group, acetamide group, or an acetoxy group, and

wherein LG is a leaving group, wherein R1, R2, R3, R4, and R5 are independently
an acetate group, acetamide group, or an acetoxy group.
A particularly useful covalent conjugate for synthesizing a multimer contrast
agent has the following structure, hereinafter "Synthon #1":


Another embodiment of a covalent conjugate useful for synthesizing a multimer
has the following structure, hereinafter "Synthon #2:

In the following example of an MRI contrast agent of the invention that includes a
peptide as outlined above, the effect of the N-terminus linker on the relaxivity of MRI
contrast agents is illustrated:

In this example, "chelate" refers to bb-DTPA-Gd(III).
The "Linker-subunit" above was varied with the following results (relaxivities per
Gd(III) ion were determined at 20 MHz and 35ºC, units are mM-1V-1):


As shown above, structures 15 and 16 are similar to 32 except for different N-
terminal linker-subunits. The experimental results show that a linker can affect the
relativity, as well as other characteristics of a contrast agent of the invention.
Chelating Moieties and Reagents
Chelating moieties are chelating ligands complexed with metal ions. These
chelating moieties contain a synthetic moiety capable of forming a point of attachment to
the linker, linker-subunit, and/or modified peptide. One or more chelating moieties may
be covalently conjugated to the functional group at each terminus of the modified peptide.
In one embodiment, the chelate is attached to a linker-subunit. In another embodiment,
the chelate is attached to a linker moiety. In other embodiments, the chelate may be
conjugated with a linker moiety to form a covalent conjugate before attaching the
covalent conjugate to the modified peptide.
Precursor chelating moieties are chelating ligands that have not been complexed
with metal ions. Chelating ligands may have protecting groups or may be precursors to
chelating ligands. Precursor chelating moieties have a synthetic moiety capable of
forming a point of attachment to the linker, linker-subunit, and/or modified peptide.
Precursor chelating moieties can be converted into chelating moieties by complexing with
a metal ion. One or more precursor chelate moieties may be covalently conjugated to the

functional group at each terminus of the modified peptide. In one embodiment, the
precursor chelate can be attached to a linker-subunit. In another embodiment, the
precursor chelate is attached to a linker moiety. In other embodiments, the precursor
chelate may be conjugated with a linker moiety to form a covalent conjugate before
attaching the covalent conjugate to the modified peptide.
Precursor chelate moieties and chelate moieties according to the invention can
have any of the following structures:



wherein X is a heteroatom electron-donating group capable of coordinating a
metal cation, such as O", OH, NH2, OPO32-, NHR, or OR, wherein R is any aliphatic
group; Rl is an uncharged chemical moiety, selected from hydrogen, any aliphatic, alkyl
group, or cycloalkyl group, or uncharged substituted versions thereof (e.g. alcohols); and
Y is a synthetic moiety (e.g., capable of forming a point of attachment, or being the point
of attachment, to the functional group of the modified peptide, linker, and/or linker-
subunit either directly or with an intervening carbonyl, methylene, methylene-oxygen,
thiocarbonyl). Moieties with (chelate moiety) or without (precursor chelate moiety) a
coordinated metal ion may be used.
A variety of chelating ligands may be used in contrast agents of the invention.
Such chelating ligands include, but are not limited to, derivatives of DTPA, DOTA,
NOTA, and DO3 A. For MRI, metal chelates such as gadolinium
diemylenetriaminepentaacetate (DTPA•Gd), gadolinium tetraamine 1,4,7,10-
tetraazayclododecane-N,N',N',N'-tetraacetate (DOTA'Gd) and gadolinium 1,4,7,10-
tetraazacyclododecane-l,4,7-triacetate (D03A•Gd) are particularly useful. Particularly
useful chelates include bb(CO)DTPA•Gd. Other metals may be substituted for Gd(III) in
MRI applications.
Examples of functionalized chelates that have been synthesized for the purpose of
preparing multimeric chelates include pNCS-Bz-DTPA [Martin, V., et al. Bioconiugate
Chem. 6,616-23,1995] and Gd(4-NCS-phenyl)-amino-carbonylmethyl-D03A
[Ramachandran, R. et al., Invest. Rad. 1998, 33(11), 779-797]. For optimal relaxivity
properties when bound to a target, it is frequently desirable to minimize chelate motion,
and hence, a minimal number of covalent bonds linking the target to the chelating ligand
are desirable. Below is an example of a reagent that includes a chelating ligand with a
backbone carbonyl group for connecting to an amine functional group or a linker-subunit
or linker, wherein "LG" is a leaving group (e.g., an activated ester) and R represents a

group which may be easily cleaved to form O- (-OtBu, e.g. a carboxylate ester) thereby
forming a carboxylate with the neighboring carbonyl group:

It has been found that the chemical motif of a carbonyl immediately adjacent to a
chelating ligand constitutes a class of high relaxivity MRI contrast agents.
The present invention also relates to intermediates useful in the synthesis of
contrast agents for MRI according to the following formulae:

wherein, R1, R2, R3, R4, and R5 may be any protected or unprotected acetyl ligand
suitable for forming a chelate of a paramagnetic metal with an appropriate formation
constant, including the following:
, wherein P is any protecting group, including
benzyl and tert-butyl groups. LG is a "leaving group" and represents -OH and ester
forms thereof including, NHS esters, pentafluorophenol, and other activated esters.
In a particularly useful embodiment, LG is -OH, and R1, R2, R3, R4, and R5 are
CH2CO2O1Bu, hereinafter "Synthon #3, and has the following structure:


Alternatively, the following reagent may be used in the synthesis of contrast
agents of the invention:

The present invention also provides methods of manufacturing compounds. In
particular, a novel oxidation reaction permits the facile preparation of Synthon #3, a
preferred embodiment of a chelating ligand. The synthesis of Synthon #3 can be achieved
through two different synthetic routes, both commencing with hydroxymethyl-
diemylenetriamine. One route involves a two synthetic step sequence (alkylation,
followed by oxidation) and the other involves a six-step process (protection, oxidation,
esterification, deprotection, alkylation and hydrogenolysis). Both produce Synthon #3 in
high chemical and optical purity {vide Examples, below).
U.S. Patent No. 5,637,759 discloses a synthesis of Synthon #1 from
2,3-diaminopropionic acid and aza-lysine by a selective hydrolysis protocol with sodium
thiophenoxide. The method disclosed herein avoids the use of this toxic reagent
Synthesis of Contrast Agents
Synthesis of the peptide-based contrast agents may be carried out in the following
steps. First, a targeting peptide can be synthesized with or without a C-terminal linker-
subunit, typically using solid phase peptide synthesis. For cyclic peptides described
herein, a protected linear peptide may be cyclized in solution or on the resin. Unprotected
peptide may also be cyclized in solution or on resin. A C-terminal linker-subunit may be

conveniently derived from the solid phase synthesis resin and an N-terminus linker or N-
terminal linker-subunit can be coupled to the peptide during the solid phase synthesis.
Typically, following cyclization, the linker-subunit-chelate precursor moieties were
coupled to the peptide. Protecting groups were removed to provide the ligand precursors,
and then chelates were prepared. Radionuclide compounds of this invention were
prepared from ligand precursors using commercially available radionuclides (for
example, 99mTc from Nycomed Amersham Boston cat. #RX-290195, 111In from NEN Life
Science Products cat. # NEZ304, or 153Gd from NEN Life Science Products cat. #
NEZ142) by reaction in aqueous media, typically at pH 4-6 for 1 hour. In the case of
optical contrast agents, an organic dye may be substituted for a chelate precursor.
































Properties of Contrast Agents
Compounds of this invention can be more stable with respect to degradation by
endogenous enzymes than the parent peptide (i.e., the peptide without any attached
chelates), a peptide with one or more chelates attached to the N-tenninus, or a peptide
with one or more chelates attached to the C-terminus. To estimate in vivo stability, test
compounds can be incubated with rat liver homogenates. After selected intervals, the
reactions can be quenched and centrifuged, and the supernatant can be analyzed by liquid
chromatography-mass spectrometry to quantitate the amount of compound remaining.
Compounds of the invention also can bind a target such as human serum albumin
or fibrin. For example, at least 10% (e.g., at least 50%, 80%, 90%, 92%, 94%, or 96%) of
the contrast agent can be bound to the desired target at physiologically relevant
concentrations of drug and target The extent of binding of a contrast agent to a target,
such as HSA or fibrin, can be assessed by a variety of equilibrium binding methods. For
example, binding to HSA can be measured by ultrafiltration. For measuring binding to
fibrin, a fibrin clot may be formed in a well of a microtiter plate and contacted with the
targeting group. After an incubation time sufficient to establish equilibrium, the
supernatant is removed by aspiration (the insoluble fibrin remains bound as a gelled clot
to the bottom of the well). The concentration of unbound targeting group in the
supernatant is then measured. In both methodologies, the concentration of bound contrast
agent is determined as the difference between the total targeting group concentration
initially present and the unbound targeting group concentration following the binding
assay. The bound fraction is the concentration of bound targeting group divided by the
concentration of total targeting group.
Compounds of the invention can exhibit high relaxivity as a result of target
binding (e.g., to fibrin), which can lead to better image resolution. The increase in
relaxivity upon binding is typically 1.5-fold or more (e.g., at least a 2,3,4, 5,6,7, 8,9, or
10 fold increase in relaxivity). Targeted contrast agents having 7-8 fold, 9-10 fold, or
even greater than 10 fold increases in relaxivity are particularly useful. Typically,
relaxivity is measured using an NMR spectrometer. The preferred relaxivity of an MRI
contrast agent at 20 MHz and 37 °C is at least 10 mM-ls-1 per paramagnetic metal ion
(e.g., at least 15,20,25,30,35,40, or 60 mM-ls-1 per paramagnetic metal ion. Contrast

agents having a relaxivity greater than 60 mM-Is-1 at 20 MHz and 37°C are particularly
useful.
As described herein, targeted contrast agents can show an increase in clot uptake.
Specificity of uptake of fibrin-targeted agents can be determined by comparing-the uptake
of the agent by blood clots to the uptake by blood. See Example 11 for more details. The
specificity of fibrin-targeted contrast agents also can be demonstrated using MRI and
observing enhancement of clot signal.
Use of Peptides and Contrast Agents of the Invention
Peptides of the invention can be used to improve therapies for treating
thromboembolic disease. Current thrombolytic therapy has limitations, including a
significant risk of bleeding, failure to restore blood flow, thrombotic reocclusion after
cessation of therapy, and a lag between initiation of therapy and clot lysis. An improved
therapeutic index can be achieved by conjugating a fibrin targeting peptide of the
invention to a thrombolytic agent (e.g., a protein thrombolytic such as plasminogen
activators of human or bacterial origin). Such conjugates can activate plasminogen
locally or increase endogenous levels of tPA. For example, a fibrin targeting peptide can
be conjugated to human plasminogen activators including recombinant tissue type
plasminogen activator (tPA), prourokinase and urokinase (both single and two chain
forms), bacterium derived plasminogen activator including streptokinase, staphylokinase,
and animal derived plasminogen activators, including vampire bat plasminogen activator.
In addition, fibrin targeting peptides can be conjugated to fibrinolytics such as copperhead
snake fibrolase, which exhibits direct fibrinolytic activity. Such enzymes and proteins
can be obtained commercially, extracted from natural sources or tissues, or prepared
recombinantly.
The compositions of the invention can be linked or fused in known ways, using
the same type of linkers discussed above with respect to constructing MRl contrast
agents. Conjugation to a protein can be achieved by standard chemical techniques
including the formation of amide, ester, disulfide, and thioether bonds. For example, a
fibrin binding peptide can be covalently linked, either directly or through a linker, to a
protein by forming an amide bond between the fibrin binding peptide or the linker and the

lysine residues on the surface of the protein. These surface lysine residues are usually
distant from the enzyme's catalytic site. Therefore, the tethered moieties do not interfere
with the enzyme's catalytic activity. Multiple ligation can be achieved in a single step.
The ratio of the fibrin targeting peptide to the thrombolytic or fibrinolytic agent can be
controlled by adjusting the stoichiometry of the ligation chemistry. Multiple ligation is
particularly useful in the case of a moderately strong fibrin binding ligand because higher
binding affinity can be realized through the so called "avidity" effect. In particular, a
coupling agent or an activated ester can be used to achieve amide bond formation
between the lysine and the fibrin binding moiety or the linker. The below scheme shows
an example of a hybrid molecule formed by chemical ligation of urokinase to multiple
fibrin binding peptides via linker moieties. The number of surface lysine residues and the
number of fibrin binding molecules are illustrative. Alternatively, the fibrin targeting
peptide can be incorporated into the hybrid molecule using recombinant DNA
technology.

In some embodiments, peptides of the invention can be linked to a thrombolytic
agent with a linker encompassing an enzymatic cleavage site, e.g., an enzymatic cleavage
site normally cleaved by enzymes in the coagulation cascade, such as Factor Xa,
thrombin, or plasmin cleavage sites, etc. The thrombolytic agent is not activated until it is
cleaved from the clot binding compositions of the invention at the site of the clot, the risk
of unwanted bleeding events at sites distant from the clot would be minimized.

Furthermore, thrombolytic moieties can be linked to a peptide-targeted multimeric
contrast agent such that a clot can be identified, imaged and dissolved.
Contrast agents prepared according to the disclosures herein may be used in the
same manner as conventional MRI contrast agents and are useful for the diagnosis of
deep vein thrombosis, pulmonary embolus, coronary thrombosis, carotid and intracranial
thrombosis, atrial and ventricular thrombi, aortic arch thrombi, and high risk plaque.
When imaging a thrombus, certain MR techniques and pulse sequences may be preferred
to enhance the contrast of the thrombus compared to the background blood and tissues.
These techniques include, but are not limited to, black blood angiography sequences that
seek to make blood dark, such as fast spin echo sequences and flow-spoiled gradient echo
sequences. These methods also include flow independent techniques that enhance the
difference in contrast due to the T1 difference between contrast-enhanced thrombus and
blood and tissue, such as inversion-recovery prepared or saturation-recovery prepared
sequences that will increase the contrast between thrombus and background tissues.
Methods of preparation for T2 techniques may also prove useful. Finally, preparations
for magnetization transfer techniques may also improve contrast with agents of the
invention.
Compositions of the invention, including peptides, peptides conjugated to
thrombolytics, and peptide-targeted multimeric contrast agents, can be formulated as a
pharmaceutical composition in accordance with routine procedures. As used herein, the
compounds of the invention can include pharmaceutically acceptable derivatives thereof.
"Pharmaceutically acceptable" means that the compound or composition can be
administered to an animal without unacceptable adverse effects. A "pharmaceutically
acceptable derivative" means any pharmaceutically acceptable salt, ester, salt of an ester,
or other derivative of a compound of this invention mat, upon administration to a
recipient, is capable of providing (directly or indirectly) a compound of this invention or
an active metabolite or residue thereof. Other derivatives are those that increase the
bioavailability of the compounds of this invention when such compounds are
administered to a mammal (e.g., by allowing an orally administered compound to be more
readily absorbed into the blood) or which enhance delivery of the parent compound to a
biological compartment (e.g., the brain or lymphatic system) thereby increasing the

exposure relative to the parent species. Phannaceutically acceptable salts of the
compounds of this invention include counter ions derived from pharmaceutically
acceptable inorganic and organic acids and bases known in the art.
Pharmaceutical compositions of the invention can be administered by any route,
including both oral and parenteral administration. Parenteral administration includes, but
is not limited to, subcutaneous, intravenous, intraarterial, interstitial, intrathecal, and
intracavity administration. When administration is intravenous, pharmaceutical
compositions may be given as a bolus, as two or more doses separated in time, or as a
constant or non-linear flow infusion. Thus, compositions of the invention can be
formulated for any route of administration.
Typically, compositions for intravenous administration are solutions in sterile
isotonic aqueous buffer. Where necessary, the composition may also include a
solubilizing agent, a stabilizing agent, and a local anesthetic such as lidocaine to ease pain
at the site of the injection. Generally, the ingredients will be supplied either separately,
e.g. in a kit or mixed together in a unit dosage form, for example, as a dry lyopbitized
powder or water free concentrate. The composition may be stored in a hermetically
sealed container such as an ampule or sachette indicating the quantity of active agent in
activity units. Where the composition is administered by infusion, it can be dispensed
with an infusion bottle containing sterile pharmaceutical grade "water for injection,"
saline, or other suitable intravenous fluids. Where the composition is to be administered
by injection, an ampule of sterile water for injection or saline may be provided so that the
ingredients may be mixed prior to administration. Pharmaceutical compositions of this
invention comprise the compounds of the present invention and pharmaceutically
accetable salts thereof, with any pharmaceutically acceptable ingredient, excipient,
carrier, adjuvant or vehicle.
A contrast agent is preferably administered to the patient in the form of an
injectable composition. The method of administering a contrast agent is preferably
parenterally, meaning intravenously, intra-arterially, intrathecally, interstiually or
intracavitarilly. Pharmaceutical compositions of this invention can be administered to
mammals including humans in a manner similar to other diagnostic or therapeutic agents.
The dosage to be administered, and the mode of administration will depend on a variety

of factors including age, weight, sex, condition of the patient and genetic factors, and will
ultimately be decided by medical personnel subsequent to experimental determinations of
varylng dosage followed by imaging as described herein. In general, dosage required for
diagnostic sensitivity or therapeutic efficacy will range from about 0.001 to 50,000 μg/kg,
preferably between 0.01 to 25.0 μg/kg of host body mass. The optimal dose will be
determined empirically following the disclosure herein.
With respect to treatment of thrombolytic conditions, the quantity of material
administered will depend on the seriousness of the thromboembolic condition and
position and the size of the clot The precise dose to be employed and the mode of
administration can be decided according to the circumstances by the physician
supervising treatment In general, dosages of the combined composition/thrombolytic
agent conjugate will follow the dosages that are routine for the thrombolytic agent alone,
although the improved affinity for fibrin/clot binding added by the compositions
disclosed herein may allow a decrease in the standard thrombolytic dosage. Particular
thrombolytics contemplated for use in this therapy (with examples of dose and method of
administration) are as follows:
Streptokinase 1-3 megaunits over 30 minutes to 3 hrs
Anistreplase 30 units; 2-5 minute injection
tPA (wild-type) 50-150 mg; infusion over up to 6 hrs
Two-chain urokinase (40-100 mg); infusion over up to 6 hrs
Single-chain urokinase (scuPA) 3-12 megaunits (30-100 mg; infusion over up to 5
hrs
Hybrid plasminogen activators and derivatives 20-100 mg; injection or
infusion
Muteins of plasminogen activators 10-100 mg; injection or infusion
The invention will be further described in the following examples, which do not
limit the scope of the invention described in the claims.
EXAMPLES
Synthesis, characterization, and use of several high relaxivity contrast agent
compositions of the invention will be further illustrated in the following examples. The

specific parameters included in the following examples are intended to illustrate the
practice of the invention, and they do not in any way limit the scope of the invention.
Those skilled in the art will recognize, or be able to ascertain using no more than routine
experimentation, many equivalents to the specific embodiments and methods described
herein. Such experiments are intended to be encompassed by the scope of the claims.
Example I - Synthesis of Pepride-Based MR Imaging Agents:
The peptide with linker-subunitmoiety bound to C-terminus (P-flinker-subunit
moiety]). The unprotected peptide was prepared using standard Fmoc strategy and a
diaminotrityl resin. The peptide was cyclized using thallium trifluoroacetate on the resin
or in solution. After being cleaved from the resin, the unprotected peptide was purified by
RP-HPLC (C-18 column, H20/CH3CN/TFA).
Linker Moiety: To a solution of Boc-Dpr(Boc)-OH.DCHA (1 eq.) and
pentafluorophenol (1.2 eq.) in dichlorometnane was added PS-carbodiimide (1.2 -1.5
eq.). The mixture was shaken for 3-5 h at room temperature. After LC-mass results
indicated the reaction was complete, the resin was removed by filtration and the solvent
was evaporated under reduced pressure to give the crude Linker Moiety (Boc-Dpr(Boc)-
OPft (N-α-Boc-N-B-Boc-L-diaminopropionic acid pentafluorophenyl ester, 356-128) as a
white foam.
Precursor MR Imaging Agent: To a solution of P-flinker-subunit moiety] (1
eq.) and the Linker Moiety {Boc-Dpr(Boc)-Opft} (2.2 eq.) in DMF was added DEPEA
(4-6 eq.). The mixture was stirred overnight at room temperature. After LC-mass results
indicated the reaction was complete, the solvent was removed under reduced pressure.
The crude product was then stirred in a mixture of TFA, water and anisole (90%/5%/5%)
at room temperature for 3 h. Diethyl ether was added and a white precipitate formed,
which was purified by RP-HPLC (C-18 column, H2O/CH3CN/TFA) to give the Precursor
MR Imaging Agent (tetrakisarnino-peptide as a white solid.
Precursor Chelate Moiety: DOTAGA-Opft. To a solution of DOTAGA-OH (1
eq.) and pentafluorophenol (1.2 eq.) in dichloromethane was added PS-carbodiimide (1.2
-1.5 eq.). The mixture was shaken for 3-5 h at room temperature. After LC-mass results
indicated the reaction was complete, the resin was removed by filtration and the solvent

was evaporated under reduced pressure to give the crude Precursor Chelate Moiety as a
white foam.
MR Imaging Agent To a solution of the Precursor MR Imaging Agent (1 eq.) and
Precursor Chelate Moiety (4.0 eq.) in DMF was added DIPEA (4.0 eq.). The mixture was
stirred overnight at room temperature. After LC-mass results indicated the reaction was
complete, the solvent was removed under reduced pressure.
The crude product was then stirred in a mixture of TFA, phenol, methylsulfonic
acid, anisole and dichloromethane (90%/2.5%/2.5%/2.5%/2.5%) for 15 min. at room
temperature. Diethyl ether was added and a white precipitate formed and was collected
as the crude product.
The crude product was reacted with GdCl3-H2O in deionized water to form the
crude MR imaging agent, which was purified using RP-HPLC (C-l 8 column, Ethanol/ 50
mmol AcONRO. Appropriate fractions were combined and the ethanol removed under
reduced pressure, and then the combined fractions were treated with sodium acetate for
salt exchange. After lyophilization the excess salts were removed using reverse-phase
chromatography on a Waters Sep-Pak® C-l8 cartridge with water and ethanol:water
(50:50) eluants. Appropriate fractions were combined, the ethanol removed under
reduced pressure, and the solution was Iyopbilized to give the desired peptide MR
imaging agent as a white solid.
Similar methods were used to synthesize other MR imaging agents.




Hydroxymethyl-diethylenetriamine of the indicated stereochemistry
trihydrochloride (25.15 g) (optically pure starting material: Syn Comm 29(14), 2377-
2391 (1999), racemic starting material: Coll. Czech. Chem Comm. 34,630-634 (1969))
was dissolved in a deionized water/1,4-dioxane mixture and the pH of the solution was
adjusted to between 8 and 9 with aqueous sodium hydroxide. Di-tert-butyl dicarbonate
(3.5 equiv.) was dissolved in dioxane and added between 10 and 20º C. The reaction
mixture was stirred between 12 and 20 hours at room temperature. The reaction mixture
was then diluted with water, and extracted with ethyl acetate. The organic extract was
extracted sequentially with water, saturated sodium bicarbonate, and saturated sodium
chloride solutions. The organic extract was dried over sodium sulfate, filtered, and
concentrated under in vacuo to provide an oil which was purified by silica gel
chromatography with a mixture of ethyl acetate:hexane. The total yleld of purified
product was 30.11 g. 1H NMR (300 MHz): 5.18 (d, J= 7.9 Hz, 1H), 4.76 (bs, 1H), 3.8-
3.0 (m, 10H), 1.47-1.42 (2s, 27H). MS (m/Z): 456.4 [M+Na]+.
Step b - Oxidation of Hydroxy 1 Group
[based on the oxidation procedure disclosed in Zhao et al. J. Org. Chem. 64,2564-
2566 (1999)]

BOC-protected triamine (29.94 g) was dissolved in acetonitrile. Phosphate buffer,
consisting of 21.6 g NaH2PO4,21.6 g Na2HPO4 and enough deionized water to produce a
500 mL volume, was added (300 mL), followed by 2,2,6,6-tetramethylpiperidinyl-l-oxy
(TEMPO) (0.07 equiv.). The mixture was stirred vigorously and warmed to 35ºC.
Sodium chlorite (2.0 equiv.) was dissolved in deionized water (100 mg/ml). The sodium
chlorite solution and bleach (0.02 equiv., approx. 0.25% aqueous sodium hypochlorite)

were added while maintaining a constant temperature. After addition of oxidant, the
reaction was stirred for 24 hours. Additional TEMPO (0.07 equiv.) was added and the
reaction mixture was stirred for 24 hours. The reaction was cooled to room temperature.
Water was added and the pH was adjusted to 8 with 2.0 N aqueous NaOH. A cold
solution of aqueous sodium sulfite was added (300 mL) while maintaining a constant pH.
The solution was extracted with a small volume of methyl tert-butyl ether and set aside.
The aqueous layer was acidified to pH 3-4 with 2.0 N aqueous HC1 and extracted with
two small volumes of methyl tert-butyl ether. The organic extract was combined with the
one previously set aside and concentrated in vacuo. The product was used without
purification in Step 3 below. 1HNMR (300 MHz): 5.8 (bs, 1H), 5.3 (m, 1H), 4.4 (M, 1H),
3.6-3.2 (m, 6H), 1.47-1.43 (2s, 27H). MS (m/Z): 470.2 [M+Na]+.

The carboxylic acid starting material (178 g) was dissolved in dry DMF. Cesium
carbonate (2.0 equiv.) was added, and the solution was stirred for 30 minutes. Benzyl
bromide (1.1 eq.) was added dropwise at room temperature. The reaction mixture was
stirred under an inert atmosphere for 18 hours. The reaction mixture was diluted with
water and extract twice with ethyl acetate. The organic layers were combined and
washed sequentially with saturated sodium bicarbonate and sodium chloride solutions.
The organic layer was concentrated to an oil (270 g) which was purified by silica gel
chromatography using ethyl acetate:hexane. lH NMR (300 MHz): 7.3 (s, 5H), 5.6 and
5.15 (2bs, 1H), 5.1 (s, 2H), 4.5 (bs, 1H), 4.0-4.1 (m, 1H), 3.5-3.2 (m, 6H), 1.45 and 1.4
(2s, 27H). MS (m/Z): 560.3 [M+Na]+.


The BOC-protected triamine (250 g) was stirred in a solution of 1:1 acetonitrile:4
N aqueous HC1 and allowed to stir for approximately 2.0 hours. The acetonitrile was
removed in vacuo and the remaining solution was lyophilized to provide a residue that
was immediately dissolved in DMF and diisopropylamine (a sufficient amount to raise
the pH to 8). tert-Butyl bromoacetate was added (12.0 equiv.). After the addition was
complete, the reaction mixture was warmed to 50"C and stirred for 18 hours. Upon
completion of reaction the volume of the reaction mixture was doubled by the addition of
water, after which it was extracted twice with ethyl acetate. The organic extracts were
combined and washed sequentially with water, saturated sodium bicarbonate, and
saturated sodium chloride solutions. The organic solution was concentrated in vacuo to
an oil which was purified by silica gel chromatography using ethyl acetate:hexane. The
total yleld of purified product was 190 g. MS (m/Z): 809.5 [M+Na]+.


A stainless steel reactor was charged with benzyl ester (157 g), 10% palladium on
carbon (19.8 g) and ethyl acetate and hydrogenated at 45 psi for 12 hours. Filtration
through Celite® and concentration in vacuo gave an oil. The oil was dissolved in ethyl
acetate/hexanes and purified by silica gel chromatography to provide the DTP A
carboxylic acid penta-tert-butyl ester(yleld: 82%). MS (m/Z): 719.5 [MH]+. When this
reagent is used in the synthesis of contrast agents using other chiral elements, no
diastereomers are observed and therefore it is concluded that this material is essentially
optically pure to the limit of detection by ordinary proton NMR.
Method B for Synthesis of Synthon #3

Alcohol (see Svn. Comm. 29(14), 2377-2391 (1999) for a synthesis from
hydroxymemyl-diemylenetriamine) starting material (105.0 g), acetonitrile (1.0 L),
phosphate buffer (1.0 L, prepared by dissolving 100 mg of NaH2PO4 and 10 mg of
Na2HPO4 into 1.0 mL of water and then adjusting the pH to 4.5 with H3PO4) and TEMPO
(7.0 g) were combined and wanned to between 45 and 50°C. A solution consisting of
sodium chlorite (29.8 g dissolved in 298 mL of water) and sodium hypochlorite (744 μL)
was added to the solution while rnamtaining a temperature of 45 to 50°C. The reaction
mixture was stirred vigorously for 4 to 10 hours. The reaction mixture was cooled to
room temperature and two layers were separated. The organic layer was isolated and
combined with saturated aqueous sodium chloride and stirred for 15 minutes. The
organic layer was isolated and concentrated in vacuo to give an oil (171 g) which was
purified by column chromatography using hexanedsopropanol with 0.1% triethylamine
throughout to provide 81 g of enriched product as an oil. MS (m/Z): 719.5 [MH]+. The
optical purity of material produced by this method did not differ from that above.

Example 3 -Resins for Solid Phase Synthesis of Modified Peptides with C-terminal
Amine Functional Groups
The peptides have been prepared by solid-phase synthesis. In solid-phase
synthesis, the linkers and resins are selected depending on the type of the peptides to be
synthesized (e.g., the functional group required at the C-terminus, the protected or
unprotected peptide) and the synthetic method to be used (e. g. Fmoc or BOC chemistry,
manual or automated synthesis, the continuous flow or batch reactor). For example, in
the synthesis of a peptide with a carboxylic group at the C-terminus, a protected-amino
acid is attached to the different resins such as HMPB resins, 2-chlorotritylchloride resin
and SUSRIN resin. On the other hand, in the synthesis of a peptide with an amino group
at the C-terminus, a diamine can be attached to a trityl resin. The polystyrene (PS) resins
can be used for batch synthesis, while polyethyleneglycol (PEG) modified resins are
suitable for continuous flow and batch synthesis. Many trityl PS resins including 1,3-bis-
(aminomethyl)-benzene trityl PS resin are commercially available. If the required trityl
PS resin is not available, a similar procedure as described for PEG resins can be used to
attach a diamine to a trityl PS resin.
The synthesis of l,3-bis-(aminomethyl)-benzene trityl resin is discussed as an
example. Other diamines can be attached to trityl resin in a similar manner.

First, trityl alcohol resin (25 g, NovaSyn TGT resin, NovaBiochem) was placed in
a funnel and washed sequentially with DMF, CH2Cl2, and toluene. After removing all
solvent, the material was transferred to a flask equipped with a reflux condenser. Toluene
(250 mL) and acetyl chloride (25 mL) were added and the slurry was heated to 70"C and
stirred for 1.0 hour. An additional portion of acetyl chloride (25 ml) was added and the

slurry was stirred for 2.0 hours at 70 ºC. The slurry was filtered and the resin washed
sequentially with toluene and CH2Cl2.

Second, freshly prepared trityl chloride resin and THF (250 mL) was placed in a
flask. To the slurry was added l,3-bis-(aminornethyl)-benzene (10 eq., based on a resin
substitution of 0.23 mmol/g) and the mixture was stirred for 18.0 hours at room
temperature. The slurry was filtered and the resin was washed sequentially with water,
DMF, CH2Cl2, methanol, and CH2Cl2. The resin was dried under vacuo (room
temperature, 1-5 mm Hg) to a constant weight (25.4 g). The substitution stoichiometry
was conducted using a quantitative ninhydrin procedure.


23-Bis-tert-butoxycarbonylamino propionic acid benzyl ester
A solution of cesium carbonate (6.5 g) and water was added to 2,3-bis-tert-
butoxycarbonylamino propionic acid (3.04 g) in acetonitrile (25 ml). The mixture was
stirred for 40 minutes at room temperature. The solvent was removed under vacuum.
DMF (50 ml) was added to the solid residue. A solution of benzyl bromide (1.43 ml) and
DMF (5.0 ml) was added over 15 minutes at room temperature. The mixture was stirred
for 18 hours, and then the mixture was diluted with ethyl acetate (100 ml) and water (50
ml) and stirred for 15 minutes. The layers were separated and the organic layer was dried
over sodium sulfate. The mixture was filtered, and the filtrate was concentrated under
vacuum to give an oil (3.6 g). The oil was purified by column chromatography with ethyl

acetale/hexane to provide an oil (1.8 g). MS (m/Z): [M +Na]+ = 417. 1H NMR (300
MHz): 1.4 (s, 9H), 2.4 (m, 2H), 4.4 (m, 1H), 4.8 (m, 1H), 6.5 (m, 1H), 7.3 (m, 5H).
2,3-Diamino-propionic acid trihydrochloride
A solution of 2,3-bis-tert-butoxycarbonylamino propionic acid benzyl ester (1.8
g), 4N aqueous HC1 (40 ml), and acetonitrile (50 ml) was stirred for 18 hours at room
temperature. The solvent was removed under vacuum, and the mixture was diluted with
ethyl acetate (100 ml) and water (50 ml) and stirred for 15 minutes. The layers were
separated and the aqueous layer was evaporated to dryness (1.23 g of a foam/syrup). 1H
NMR (300 MHz): 3.2-3.5 (m, 2H), 4.2-4.35 (m, 1H), 5.13-5.25 (q, 2H, J= 11.8,3.1 Hz).
2,3-Bis-carboxy-DTPA propionic acid benzyl ester
A solution of 2,3-diamino- propionic acid trihydrochloride (6.65 g), bb(CO)DTPE
(40.0 g, "Synthon 3), HOBt (8.5 g), DIC (9.0 ml), diisopropylethylamine (15.0 ml),
CH2Cl2 (400 ml) and DMF (200 ml) was stirred for 48 hours. The mixture was diluted
with methylene chloride (500 ml) and water (250 ml), and then stirred for 15 minutes.
The layers were separated and the organic layer was washed with saturated sodium
carbonate (250 ml), saturated sodium chloride (250 ml) and dried over sodium sulfate.
The mixture was filtered and the filtrate was concentrated in vacuo to obtain an oil. The
oil was purified by silica gel chromatography using ethyl acetate and hexanes to obtain
28.0 g of material. MS (m/Z): [M+2]+ = 798; [M+l]+ = 1595.
2,3-Bis-carboxy-DTPA propionic acid
Hydrogenation of 2,3-bis-carboxy-DTPA propionic acid benzyl ester (17.0 g) was
performed in ethyl acetate/triethylamine (10:3) using 10% palladium on carbon (6.0 g)
catalyst for 24 hours at 50 psi. The vessel was purged with nitrogen and the mixture was
filtered through Celite®, and concentrated under reduced pressure to give 16.0 g of an oil.
MS(m/Z):[M+2]+ = 753; [M+l]+= 1504.


To a solution of diethylenetriamine (3.16 ml), acetonitrile (700 ml), and
diisopropylemylamine (10.4 ml) was added pre-reacted (30 min) bb(CO)DTPE (42.0 g,
"Synthon 3), HOBt (7.9 g), EDC (11.2 g) and diisopropylethylamine (10 ml) in
acetonitrile at room temperature. The reaction was stirred for 16.0 hours and then
concentrated under reduced pressure. The oil was combined with ethyl acetate, extracted
with water and saturated aqueous sodium chloride and then concentrated. The oil was

purified by silica gel column chromatography using hexanes/isopropanol/triethylamine to
provide 22.5 g of product MS (m/Z): [M+H]+ = 1503.
NI,N3-Bis[2-(bis-tert-butoxycarbonylmethyl-amino)-3-{[2-{bis-tert-
butoxycarbonybnethyl-amino)-ethyl]-(tert-butoxycarbonylmethyl)-amino}-
propionamide]-N2-(benzyIoxycarbonylmethyI)-diethylenetriamine
Benzyl-2-bromoacetate (2.54 g) was added to a solution of the previous amine
compound (13.5 g), acetonitrile (200 ml) and sodium carbonate (1.18 g). The mixture
was warmed to 60 C and stirred for 15 hours. The reaction mixture was cooled to room
temperature and concentrated under reduced pressure. Ethyl acetate and water were
added, the layers were separated. The organic layer was washed with saturated aqueous
sodium chloride, then concentrated under reduced pressure to give an oil (14.5 g). MS
(m/Z): [M]+= 1651.
NI,N3-Bis[2-(bis-tert-butoxycarbonylmethyl-amino)-3-{[2-{bis-tert-
butoxycarbonylmethyl-amino)-ethyl]-(tert-butoxycarbonylmethyl)-amino}-
propionamide)-N -(acetic acid)-diethylenetriamine
The above benzyl ester (14 g) was hydrogenated in ethyl acetate/triethylamine
(49:1) at 50 psi for 16.0 hours in the presence of 10% palladium on charcoal (3.5 g). The
resulting mixture was filtered through Celite®, and concentrated in vacuo to provide
12.08 g of an oil. MS (m/Z): [M+H]+ =1561.


N1,N3-Bis-Butoxycarbonylmethyl-Diethylenetriamine
To a solution of diethylenetriamine (2.12 g, 20.6 mmol) and triethylamine (30.0 g,
41.3 mmol) in THF (100 mL) was added Boc-ON (10.65 g, 43.3 mmol) at room
temperature. The mixture was stirred for overnight To the mixture was added 700 mL
of ether and then extracted with phosphate buffer (pH = 3, 100 mmol). The aqueous
solution was basified to pH = 11 and extracted with dichloromethane. The organic layer
was separated and dried over anhydrous sodium sulfate. The salts were filtered and the
solvent was removed under the reduced pressure to give the indicated compound as a
colorless oil (5.55 g). MS (m/Z): [M+H]+ » 304.1.
N1,N3-Bis-Butoxycarbonyl-N2-(Benzylorycarbonylethyl)-Diethylenetriamine
To a solution of the compound above (1.0 g, 3.30 mmol) in methanol (40 mL) was
added benzyl acrylate (1.07 g, 6.59 mmol) at room temperature. The mixture was
refluxed for 3 days. The solvent was removed at reduced pressure to give a yellow liquid
that contains the indicated compound and benzyl acrylate. MS (m/Z): [M+H]+ = 466.1.

N2-(BenzyloxycarbonyIethyl)-Diethylenetriamine
To a mixture of the compound above and benzyl acrylate (1.0 g) in
dichloromethane (25 mL) was added TFA (13.8 mL) at room temperature. The mixture
was stirred for 3 h at room temperature and then to the mixture was added IN HO and
water. The aqueous layer was separated and lyophilized to give the indicated compound
(420 mg) as a sticky solid. MS [m/Z]: [M+H]+ = 266.2.
N1,N3-Bis[2-(Bis-tert-Butoxycarbonylmethyl-Amino)-3-{[2-Bis-Tert-
Butoxycarbonylmethyl-Ammo)-Ethyl]-(Tert-Butoxycarbonylmethyl)-Amino}-
Propionamide]-N2-(Benzyloxycarbonylethyl)-Diethylenetriamine
To a solution of the above compound, "Synthon 3, HOBt and
diisopropylemylamine, in CH2Cl2 and DMF is added DIC. The mixture is stirred for 48 h
at room temperature. The mixture is diluted with dichloromethane and water, and then
stirred for 15 minutes. The layers are separated and the organic layer is washed with
saturated sodium carbonate, saturated sodium chloride and dried over sodium sulfate.
The mixture is filtered and the filtrate is concentrated in vacuo to obtain an oil. The oil is
purified by silica gel chromatography using ethyl acetate and hexanes to obtain the
indicated compound.
N1,N3-Bisp-(Bis-tert-Butoxycarbonylmethyl-Ammo)-3-{[2-(Bis-tert-
Butoxycarbonylmethyl-Amino)-Ethyl]-(tert-Butoxycarbonylmethyl)-Amino}-
Propionamide]-N2-(Propionic Acid)-Diethylenetriamine
Ahydrogenation vessel is charged with the above compound, 10% palladium on
carbon, ethyl acetate, and triethylamine. The vessel is purged with nitrogen then
hydrogen. The mixture is shaken for 24 hours under a hydrogen atmosphere (50 psi).
The vessel is purged with nitrogen and the mixture is filtered through Celite®, and the
filtrate is concentrated under reduced pressure to give the product as an oil.


Methyl 3-(Benzylammo)-2-((Benzylamino)Methyl)-Proprionate
Methyl-2-(bromomethyl)-acrylate (1.00 g, 5.6 mmol, 1.0 eq.) dissolved in
acetonitrile (20 mL) was added drop-wise with stirring at room temperature to a solution
of benzylamine (1.83 mL, 16.8 mmol, 1.5 eq.) in anhydrous acetonitrile (10 mL). After
16 hours, ether (100 mL) was added, and the white solid (benzylamine hydrobromide)
was filtered. The filtrate was concentrated under reduced pressure to give 1.90 g of a
crude oil. The oil was dissolved in ethyl acetate (150 mL) and washed with H2O and
NaCl brine. The organic layer was dried (MgSO4), and evaporated under reduced
pressure. The resulting clear oil was purified by flash chromatography (hexanes:ethyl
acetate) to give 1.38 g (79%) of the product. 1H NMR (300 MHz, CDCl3): δ 1.68 (s, 2H),
2.79-2.90 (m, 5H), 3.68 (s, 3H), 3.75 (s, 3H), 7.21-7.32 (m, 10H).

Methyl 3-(Amino)-2-(Aminomethyl)-Proprionate
Methyl 3-(ben2ylamino)-2-(benzylamino)methyl)-proprionate (2.27 g, 7.3 mmol,
1.0 eq) was dissolved in methylene chloride (20 mL) and 4.0 mL of a 4M solution of HC1
in dioxane was added. The solution was stirred at room temperature for 20 minutes and
solvents were men evaporated under reduced pressure to give a white powder that was
dissolved in 50 mL MeOH. Catalyst (10% Palladium on carbon catalyst, 750 mg) was
added at 0°C under argon and the mixture was shaken at 45 psi H2 for 18 hours, then
filtered through Celite . The product (1.47g) was isolated following a MeOH was and
evaporation under reduced pressure. 1H NMR (300 MHz, D2O): δ 3.25-3.43 (m, 5H), 3.82
(8.3H).
Methyl 3-(BOC-Amino)-2-(BOC-AminomethyI)-Proprionate
Diamine (1.44 g) was reacted with di-tert-butyl dicarbonate (3.22 g, 14.8 mmol,
1.05 eq.) in dioxane/aqueous Na2CO3 at solution 0°C for 1 hour and then room
temperature for 18 hours. The mixture was then acidified (pH=4) with 0.5N KHSO4 and
dioxane was evaporated under reduced pressure. The aqueous portion was extracted with
ethyl acetate, dried over MgSO4 and concentrated under reduced pressure to give a crude
oil that was purified by flash chromatography (hexanes:ethyl acetate) to give 1.86 g
(80%) of the desired. NMR (300 MHz, CDC13): δ 1.41 (s, 18H), 2.66-2.78 (m, 1H), 3.10-
3.27 (m, 2H), 3.50-3.62 (m, 2H), 3.68 (s, 3H), 5.17-5.27 (bt, 2H).
3-(BOC-Amino)-2-(BOC-Amuiomethyl)-PropanoicAcid
Methyl ester (1.50 g) was dissolved in 15 mL of a 2:1 mixture of THF / H2O.
LiOH•H2O (0.95 g) was added at 0°C. The mixture was stirred between 0°C and room
temperature for 44 hours. THF was evaporated under reduced pressure and the aqueous
solution was extracted with EtOAc. The aqueous layer was made acidic (pH=3) with
0.5M aqueous KHSO4 and extracted with EtOAc. Combined organic fractions were
washed with 30 mL H2O, and dried (MgSO4). Solvents were evaporated under reduced
pressure to give 1.32 g (92%) of the product 1H NMR (300 MHz, CDC13): δ 1.40 (s,
18H), 2.66 (s, 1H), 3.27-3.47 (m, 4H), 5.42 (s, 1H).

Benzyl 3-(BOC-Amino)-2-(BOC-Aminomethyl)-Propionate
Acid (1.01 g) was reacted at room temperature with benzyl bromide (0.45 mL) in
anhydrous DMF containing CS2CO3 (2.07 g). DMF was evaporated under reduced
pressure and the residue was partitioned between H2O and EtOAc. The organic layer
was washed with brine, and dried (MgSO4). Solvent was evaporated under reduced
pressure and the residue purified by flash chromatography on silica gel (Hexanes/ EtOAc
95:5 to 9:1 to 85:15). Yield 1.16g (90%). 1H NMR (300 MHz, CDC13): δ 1.42 (s, 18H),
2.79 (quint, 1H, 5.6 Hz), 3.1-3.3 (m, 2H), 3.5-3.65 (m, 2H), 5.13 (s, 2H), 5.15-5.28 (m,
1H), 7.30-7.40 (m, 5H). MS: 431.15 (M+l).
Benzyl 3 -Amino-2-AminomethyI-Propionate Dihydrochloride Salt
Benzyl 3-(BOC-arnmo)-2-(BOC-aminomethyl)-propionate (1.15 g) was dissolved
in 5 mL 4M HC1 solution in dioxane. The mixture was stirred at 0°C for 6 hours and the
dioxane was evaporated under reduced pressure. The residue was nitrated with ether and
was filtered to give the unpurified diamine dihydrochloride salt (0.81g) 1H NMR (300
MHz, MeOD): 8 3.1-3.3 (m, 5H + CHD2OD), 3.55 (s, dioxane), 5.19 (s, 2H), 5.15-5.28
(m, 1H), 7.20-7.40 (m, 5H) MS: 209.00 (M+l)
Benzyl 3 -(N-BB(CO)DTPE Carboxamide)-2-(N BB(CO)DTPE Carboxamide)
Methyl-Propionate
Acid (2.00g, 2.8 mmol, 1.5 eq.) was dissolved in 5 mL anhydrous
dichloromethane. The diamine (0.26g), HOAt (0.32g), and diisopropylethylamine (0.65
mL) were reacted 0°C with HATU (0.88g) for 2 hr. Tris amine resin (0.5g), isocyanate
resin (0.5g), and HATU (0.42g) were added and the reaction mixture was stirred for 16h
at room temperature. The resins were filtered and the filtrate was evaporated. The
residue was partitioned between H20 and EtOAc. The organic layer was washed with
H20, saturated NaHC03, and brine (20 mL), and dried (MgS04). Solvent was
evaporated under reduced pressure. The oil was purified by flash chromatography on
silica gel (Hexanes/Acetone/Et3N) and gave product (1.13g). MS: 1607.95 (M+l) and
1629.95 (M+Na).

3 -(N-BB(CO)DTPE Carboxamide)-2-(N-BB(CO)DTPE Carboxamide) Methyl-
Propionic Acid
Benzyl ester (0.9Dg, 0.56 mmol) was dissolved in 30 mL EtOAc and Et3N (1 mL)
was added 10% Palladium catalyst on carbon (0.50g) was added and the mixture was
shaken for 15h under 45psi Hydrogen. Tne catalyst was filtered and the solvents
evaporated to give the product (0.82g). MS: 759.55 (M+2H/2)





Peptide Construction: 3.39 g of the 1,3-bis-(ammomethyl)-benzene trityl
NovaSyn TGT resin (measured substitution = 0.59 mmol) was placed in a standard
peptide column and loaded onto a Peptide Synthesizer. Synthesis was carried out using a
standard Fmoc strategy. Capping was carried out after coupling the first amino acid using
acetic anhydride, 6% diisopropylethylamine in DMF. When the synthesis was complete,
the resin was removed from the column and placed in a reaction vessel. The resin was
rinsed once with CH2Cl2 and filtered. The resin was then treated with 1% trifluoroacetic
acid in CH2Cl2 and placed on a mechanical shaker for 10 minutes. The mixture was
filtered through the reaction vessel and the filtrate was collected. The pH of the combined
filtrate was adjusted to approximately 8 with triethylamine, and the solution was
concentrated under vacuum to an oil. Following precipitation with water, the white solid
was filtered and rinsed with water and diethyl ether. The solid was dried by suction
filtration, taken up in DMF and diluted with acetonitrile. The solution was cooled in an
ice bath and was treated with 1.5g of thallium trifluoroacetate for 2.0 hours. The pH of
the solution was adjusted with triemylamine to pH 8 and then concentrated under
vacuum. Water was added to the oil and the resulting precipitate was collected by suction
filtration. The solid was washed with water and diethyl ether to give 2.7 g of crude
modified peptide having a C-tenninal amine functional group. An example synthesis of
H2N-Leu-Pro-Cys-Asp-Tyr-Tyr-Gly-Thr-Cys-Bip-Asp-CO-NHCH2C6CH2NH2(SEQ
ID NO:21) was confirmed by an observed m/Z of 1792.8 [M+Na]+. The modified peptide
was purified by preparative HPLC. Fractions of similar purity (98-100%) were combined
and lyophilized without neutralization.

Modified peptide (3.2 g) and covalent conjugate (Synthon #2 above) (3.95 g) were
dissolved in dichloromethane. Diisopropylethylamine was added dropwise until the pH
measured 9, and diisopropylcarbodiimide (2 eq.) and HOBt (2 eq.) were added
simultaneously to the mixture. After stirring 2 minutes, diisopropylethylamine-was added
dropwise until the pH measured 9. The mixture was stirred at room temperature for two
hours. Additional pre-activated Synthon #2 (with diisopropylcarbodiimide,
diisopropylethylamine, and HOBt) was added in one portion. Solvents were removed in
vacuo and the residue was dissolved in ethyl acetate, which was washed sequentially with
0.1 N hydrochloric acid, saturated sodium bicarbonate, and saturated aqueous sodium
chloride. The organic layer was dried over sodium sulfate, filtered, and concentrated
under reduced pressure to obtain a light yellow foam (7.8 g). The foam was dissolved in
dichloromethane and purified by flash chromatography (dichloromethane: methanol
eluent) to provide a white solid (5.6 g). The white solid was stirred in a mixture of TFA,
water, and triethylsilane (90%/5%/5%, 30 ml) at room temperature. The mixture was
heated to 40 *C and stirred for 2 hours. The solution was concentrated to a volume
between 3-5 ml, then cooled to room temperature. Diethyl ether was added and a white
precipitate formed. The mixture was allowed to stir for 10 minutes, and the solids were
collected by filtration and washed with diethyl ether. The solids were dried under
vacuum providing a white solid (4.0 g). The solid was dissolved in a mixture of water:
acetonitrile (20 ml, 4:1 ratio) and purified by Prep HPLC to yleld a white solid, precursor
MR imaging agent (1.6 g).
Precursor MR imaging agent (1 g) was reacted with one equivalent of
GdCl3•6H20 in distilled deionized water with the pH adjusted to ca. 6 by the addition of 1
M NaOH. The gadolinium complex was purified by reverse phase chromatography
(Waters Sep-Pak® C-18) using distilled deionized water and 50:50 (v:v) methanol .water
eluent Appropriate fractions were combined and the methanol removed under reduced
pressure at 50 °C and lyophilized to give 811 mg of the MR imaging agent.
Alternatively to the synthesis of 32 presented above, the peptide may be cyclized
on a resin as illustrated in the following Scheme:



Example 6 - MR Imaging Agents Prepared in Analogous Fashion:
Each of the following MR imaging agents was synthesized analogously to the
methods described above. Peptide, prepared using standard Fmoc strategy and cyclized
using thallium trifluoroacetate, was purified by HPLC and reacted with Synthon #2,
diisopropylethylamine, diisopropylcarbodiimide (2 eq.) and HOBt (2 eq.) in
dichloromethane. Solvents were removed in vacuo and the residue was dissolved in ethyl
acetate, which was washed sequentially with 0.1 N hydrochloric acid, saturated sodium
bicarbonate, and saturated aqueous sodium chloride. The organic layer was dried over
sodium sulfate, filtered, and concentrated under reduced pressure to obtain a foam which
was purified if necessary by flash chromatography or HPLC. The resulting white solid
was stirred in a mixture of TFA, water, and triethylsilane (90%/5%/5%, 30 ml) at room
temperature for 2-6 hours. Diethyl ether was added and a white precipitate formed, which
was purified by Prep HPLC (CH3CN/H2O/AcONH4) to yleld a white solid, precursor
MR imaging agent
Precursor MR imaging agent was reacted with one equivalent of GdCl3•6H2Oin
deionized water (pH 6, NaOH). The gadolinium chelate was purified using reverse-
phase chromatography on a Waters Sep-Pak® C-18 cartridge with water and
methanol:water 50:50 eluant. Appropriate fractions were combined and the methanol
removed under reduced pressure at 50 °C and lyophilized to give the desired MR imaging
agent. Table 3 provides mass spectrometry data confirming each of the compounds. See
the detailed description for the structure of each of the compounds.



Example 7 - Synthesis of Fibrin-Binding Optical Contrast Agents:
Each of the following optical contrast agents is synthesized analogously to the
methods described above. Scheme X shows a general example wherein two identical
optical dyes are added to the same peptide.
5-Carboxvtetramethylrhodamine-containing compound (3A)
The peptide 1 (177 mg, 0.10 mmol) and 5-carboxytetramethylrhodamine
succinimidyl ester A (111 mg, 0.21 mmol) are dissolved in dichloromethane (20 mL) and
DMF (20 mL). Diisopropylethylamine is added dropwise until the pH measures 9. The
mixture is stirred for overnight and then the solvents are removed under reduced pressure.
The residue is purified by silica-gel flash column chromatograph
(eluants:dichloromethane/methanol) to give compound 2A.

To compound 2A is added a solution of TFA, H2O and triethylsilane (ratio:
90/5/5,5 mL). The mixture is shaken for 3 h at room temperature, and then the reaction
mixture solution is poured into 50 mL of ether to precipitate the crude product After the
solvents are separated by centrifugation, the crude product is collected and then purified
using reverse-phase HPLC to obtain compound 3A.



5-Carboxyfluoresceine-containing compound (3B)
In a similar procedure as described in the synthesis of 3 A, 3B is synthesized using
the peptide 1 (177 mg, 0.10 mmol) and 5-carboxyfluorescein succinimidyl ester B (99.4
mg, 0.21 mmol).
Texas Red®-X-containing compound (3C)
In a similar procedure as described in the synthesis of 3A, 3C is synthesized using
the peptide 1 (177 mg, 0.10 mmol) and Texas Red®-X succinimidyl ester C (172 mg,
0.21 mmol).
Example 8 - Measuring Binding of Contrast Agents to Targets:
The extent of binding of a contrast agent according to the present invention to a
target, such as HS A or fibrin, can be assessed by a variety of equilibrium binding
methods. For example, binding to HS A can be measured by ultrafiltration. In a typical
binding measurement using ultrafiltration, the contrast agent is mixed with 4.5%
weight/volume HSA in a pH 7.4 buffer. The sample is loaded into a commercially
available centrifugation apparatus equipped with a 30 kDa molecular weight cutoff filter
(Millipore Ultrafree MC Low Binding Regenerated Cellulose 30 KDa mol. wt. cutoff
catalog # UFC3LTK00), permeable to the targeting group, but not to HSA. A small
portion (5 - 10%) of the sample volume is filtered by centrifugation at 2000 x g for 20
min through the cutoff filter, and the concentration of unbound targeting group in the
sample is measured in the filtrate.
For measuring binding to fibrin, a fibrin clot may be formed in a well of a
microtiter plate and contacted with the targeting group. After an incubation time
sufficient to establish equilibrium, the supernatant is removed by aspiration (the insoluble
fibrin remains bound as a gelled clot to the bottom of the well). The concentration of
unbound targeting group in the supernatant is then measured.
In both methodologies, the concentration of bound contrast agent is determined as
the difference between the total targeting group concentration initially present and the
unbound targeting group concentration following the binding assay. The bound traction

is the concentration of bound targeting group divided by the concentration of total
targeting group.
Affinity of contrast agents to a soluble fibrin DD(E) fragment was examined as set
forth above and is reported in Table 4. The compound numbers provided in Table 4 refer
to the structures set forth in the detailed description. This data in multiple determinations
has an error frequency of no more than 20% in this biological assay.



Example 9 - Stability of Contrast Agents:
Stability was assayed using rat liver homogenate, which contains both intra- and
extracellular enzymes and represents a particularly harsh chemical environment for
peptide bonds. Freshly prepared rat liver homogenate (630 μL) was placed in a glass test
tube and incubated at 37 °C in a water bath for 4 minutes. To the rat liver homogenate at
37 °C was added 70 μL of a 1 mM solution of test compound. At time points 0, 5,15,30,
and 60 minutes, a 100 μL aliquot of the reaction mixture was removed and mixed with
100 μL of methanol in a microfuge tube to quench the reaction. The quenched reaction
mixture was centrifuged for 3 minutes at 10,000 rpm to pellet the precipitated protein.
The supernatant was analyzed by LC-MS to quantitate the amount of test compound
remaining by comparing the area of the single ion MS peak to that of a series of
standards. Half life (Tl/2) was determined by plotting log percent signal remaining vs.
time. The data were fit using an exponential curve fit, wherein Tl/2=ln2/slope.
The stability data of the below compounds was tested. Compound 5, which has
chelates at both the C- and N-termini of the peptide, had a dramatic increase in half-life
resulting from resistance to exopeptidase hydrolysis. A comparable increase in half-life
was not achieved through modification of one terminus with chelates, even when the
other terminus was capped with an unnatural organic moiety as in, for example,
compound 3 (containing a biphenyl group on the N-terminus).


Structure 1: half-life =
Structure 2: half-life =10 min, N-tenninus conjugated to chelates and amidated C-
terminus.

Structure 3: half-life = 9 min, C-terminus conjugated to chelates and N-terminus
acylated with para-(phenyl)benzoic acid.

Structure 5: half-life = 65 min, both N- and C-termini conjugated to chelates.
Surprisingly, the above data illustrate that the half-life of a peptide is most
significantly increased by the addition of gadolinium chelates to both the C- and the N-
termini.
Example 10 - Relaxivity of Contrast Agents
The MRI contrast agents of the present invention were evaluated for relaxivity
using a Bruker NMS-120 Minispec NMR spectrometer operating at 0.47 Tesla (20 MHz
H-1Larmor frequency) and 37°C or a Konig-Brown relaxameter (20 MHz, H-l Larmor
frequency) operating at 35ºC. T1 of water protons was determined by an inversion

recovery pulse sequence using fee instrument's software. Relaxivity was determined by
measuring the Tl of multiple solutions of the target (for example, homodisperse gels of
freshly polymerized fibrinogen, 10 mg/mL) containing zero, 20,30, and 40 μM Gd(III),
respectively. The samples are incubated at 37ºC for at least 15 minutes to ensure
temperature equilibration before the Tl measurement is performed The Gd(III) content
of the samples is determined by inductively coupled plasma - mass spectrometry (ICP-
MS). The relaxivity (per Gd(III) ion) is determined by plotting the relaxation rate (1/T1)
in s-1 versus the Gd(III) concentration in mM. The slope of a linear fit to the data gives
the relaxivity. The relaxivity of the compounds in the absence of target is also
determined in an analogous manner, except there is no target present
Compounds of the invention show increased relaxivity upon binding to fibrin
(FIG. 2) as compared with the relaxivity in the absence of biological target
Example 11 - Clot uptake of contrast agents
The uptake of a contrast agent into a thrombus (blood clot) was determined by the
following method: A 600 g guinea pig (Hartley male) was anaesthetized. An incision
was made in the abdomen and the inferior vena cava (TVC) isolated and the vessel was
allowed to recover for 10 minutes. A 1 cm portion of the IVC was clamped and human
thrombin (50 μL, 4 units) was injected into the vessel to promote thrombus formation.
The lower clamp was opened and closed allowing partial blood flow to the segment.
After 2-3 minutes the clips were removed. The thrombus was allowed to age in the
animal for 30 minutes. At this point the contrast agent, compound 32 at a dose of 2
umol/kg and trace radiolabeled with 70 μCi of 111In, was injected via the jugular vein.
Immediately following injection of agent compound 32, a non-specific control
comprising Gd(DTPA)at a dose of 2 umol/kg mixed with 70 μCi 99mTcDTPA was
injected via the jugular vein. After 30 minutes blood was drawn, the animal sacrificed,
and the thrombus removed. The blood sample was weighed and counted using a Packard
Cobra II gamma counter. The thrombus was also weighed and counted. Counts arising
from 99mTc were detected from 128-165 keV while counts arising from the decay of 111In
were detected from 390 - 500 keV. Control experiments with only 99mTo or 111In
demonstrated radioactivity arising from 99mTc was negligible at detection energies used

for In and vice versa. The radioactive decay data were converted to % initial dose per
gram of tissue, %ID/g, and the mean of three experiments is presented graphically.
Radiolabeling with 111m was performed in advance: An appropriate radiochemical
amount of 111InCl3 (New England Nuclear) was added to the fibrin targeted contrast
agent The pH was adjusted to 4 by addition of 1 M HC1. The sample was heated at 45°C
for 1 hour. The pH was adjusted to neutral by addition of 1 M NaOH. The labeled agent
compound 32 was > 95% pure by y-detected HPLC.
Fibrin-specific agents show a marked increase in clot uptake. FIG. 3 shows that
an agent, compound 32, is accumulating in the thrombus. There is specific clot uptake
compared to 99mTcDTPA and there is a higher concentration of the agent in the thrombus
than in the surrounding blood.
Specificity of clot uptake also can be demonstrated using MRI. The procedure for
in vivo imaging of a thrombus with an agent is as follows: A 600 g guinea pig (Hartley
male) is anaesthetized. An incision is made in the throat and one of the jugular veins
isolated. A1 cm section of the jugular vein is isolated with vascular clamps. Freshly
drawn blood from the animal (50 μL) is mixed with human thrombin (50 μL, 4 units) and
is injected into the clamped segment of the vein. Four minutes after injection, the clamps
are removed and the thrombus is allowed to age for 30 minutes. Agent, compound 32, is
injected at a dose of 6 umol/kg and the throat area of the guinea pig is imaged at 1.5 T
using a spoiled gradient method TR=36, TE=5, flip angle = 30°. The thrombus appears
bright relative to the blood.
Example 12 - Obtaining an MR image of a thrombus with a targeted contrast agent
with and without black blood:
A 2.5 kg female New Zealand White rabbit was anesthetized with a cocktail of
Ketamine (50mg/kg), Aceapromazine (2.5mg/kg), and Rompon (5mg/kg) and anesthesia
maintained with sodium pentobarbital (approx.35mg/kg as needed). An i.v. catheter
(24g) was placed into the ear vein and the ear artery. The jugular vein and carotid artery
were isolated. A stenosis was created in the carotid artery by placing an 18g needle on
top of the vessel and then suturing it into place with 3-0 suture. The needle was then
removed. A 5 mm portion of the artery was then segmented off distally to the stenosis

with microvascular clips. The artery was then crashed twice along the 5mm section. The
proximal vascular clip was released to allow blood flow into the section for ca. 3 sec.
The clip was reapplied and artery was crashed twice again along the 5mm section. After
4 minutes, the clips were removed. A 5 mm segment of the jugular vein was isolated
with microvascular clips. A thrombus was created by injecting 100 μL of a 3.7 units of
thrombin, 0.06 M CaCl2, rabbit whole blood mixture. After 4 minutes, the clips were
removed.
The thrombi were allowed to age for 50 minutes. A 1.0 mL solution of the
thrombus targeted agent (Structure m, 5 mM, 2 μmol/kg) was administered via the ear
vein. After 10 minutes, the animal was placed inside a General Electric Signa LxCVi 1.5
tesla scanner and a first MRI data set was obtained using a 3D RF spoiled gradient echo
sequence (SPGR: TR = 39 ms, TE = 3.1 ms, flip angle = 40 degrees, field of view = 8 cm,
acquisition bandwith = 31.25 kH). Chemical fat saturation was applied as well as 40 mm
spatial inferior and superior saturation bands. Immediately following this scan (8 minutes
later), a second MRI data set was acquired using the same parameters with the addition of
40 mm spatial inferior and superior saturation bands to generate a "black blood" image.
FIG. 4A shows the maximum intensity projection (MIP) of the first data set. The
blood vessels are partially enhanced from time of flight effects. FIG. 4B shows the MTP
of the second data set where the signal from in-flowing blood was suppressed (black
blood) by the use of superior and inferior saturation bands. In FIG. 4A and 4B, the
identification of the stationary target (a thrombus) through use of the targeted contrast
agent is clearly facilitated.
Example 13 - Synthesis of an optical contrast agent:
NovaSyn TGR resin (0.20 mmol/g, 100 mg, 20 umol) was washed with
NMP/ether/NMP. The peptide was assembled by the standard solid phase method using
the PyBOP/HOBt/DIEA activation. After the coupling of the final amino acid residue, the
resin bound peptide was treated with a solution of piperidine in DMF (20% by volume,
2.0 mL) for 10 minutes to remove the Fmoc protecting group. The resin was washed
thoroughly with NMP/ether/NMP, and was treated with a solution of fluorascein-5-
isothiocyanate (23.4 mg, 60 μmol) and dusopropylethylamine (11.6 mg, 15.7 uL, 90

μnol) in DMF (1.5 mL) for 12 hours. The resin was washed thoroughly
(NMP/ether/NMP), and treated with a solution of T1(TFA)3 (18.7 mg, 34.5 umol) in DMF
(1.5 mL) at 4 "C for three hours. The resin was washed after this treatment, and treated
with a cocktail of TFA/TIS/water (95/2.5/2.5,2.0 mL) for two hours. The crude peptide
was precipitated by adding ether to the cleavage cocktail, and purified by preparative
HPLC using a Vydac C-l 8 column. Structures A-N were formed in this manner and their
fibrin DD(E) fragment affinities were determined (Table 5).









N-terminal labeling of the peptides with optical probes can modulate the binding
affinity of the optical contrast agents. For example, when comparing fluorescein, 4-
methoxycoumarin and tetramethylrhodamine derivatives of the peptide
(QWECPYGLCWIQ (SEQ ID NO:27); Kd=3 uM) the following Kd's were observed
(Table 6):

Example 14 - Fibrin targeted urokinase:
Fibrin targeted urokinase is prepared according to the following procedure. A
fibrin binding peptide with a Gly-Gly dipeptide linker is prepared according to solid
phase procedures. The N-terminus of the peptide is blocked with an acetyl group, and the
C-terminal carboxylic acid is converted to a succinamidal active ester. Direct chemical

ligation is achieved by mixing urokinase and the activated peptide in appropriate
proportions in an aqueous buffer and gently agitating the solution for 30 miniutes

Fibrin targeted urokinase can be purified by HPLC. Binding to fibrin can be
assessed. Compound 1 binds fibrin selectively versus fibrinogen.
The rabbit jugular vein model of Collen et al. (J. Clin. Invest. 1983,71,368-376)
is used for thrombolysis assays. Compound (2 mg/kg) is administered by infusion of a
bolus (consisting of 20% of the total dose) over 1 min, along with a heparin bolus (300
units/kg) over 1 min. The remainder of the dose is continuously infused over the next 60
min, and heparin (60 units/kg/hr) is continuously infused over the next 180 min. At 3
hours, the animals are sacrificed, and clots analyzed. Compound 1 is more potent in clot
lysis than scuPA alone. At 3 hr, with 2 mg/kg of compound 1, there is less consumption
of fibrinogen and α2-antiplasmin, relative to equivalent doses of scuPA alone,
demonstrating that compound 1 was more fibrin specific than scuPA alone.

OTHER EMBODIMENTS
It is to be understood that while the invention has been described in conjunction
with the detailed description thereof, the foregoing description is intended to illustrate and
not limit the scope of the invention, which is defined by the scope of the appended claims.
Other aspects, advantages, and modifications are within the scope of the following
claims.

WE CLAIM:
1. A purified peptide comprising the amino acid sequence: P* - Y* — X1* - L* (SEQ ID
NO.l), wherein:
P* is a proline or its non-natural derivative 4-hydroxyproline;
Y* is a tyrosine or a its non-natural derivative substituted at the 3 position with a moiety
selected from the group consisting of F, Cl, Br, I, and NO2;
provided that at least one of said P* or Y* is said non-natural derivative of the respective amino
acid;
X1* is G or a non-natural derivative of G selected from the group consisting of
cyclohexylglycine, allylglycine, 2-indanylglycine, tert-butylglycine, N-(4-phenylbutyl)glycine, N-
decylglycine, phenylglycine, propargylglycine, and the d isomer of glycine; or D or a non-natural
derivative of D selected from the group consisting of P-connected aspartic acid (bD), N-
methylaspartic acid, and the d isomer of aspartic acid; and
L* is a leucine or a non-natural derivative of leucine selected from the group consisting of
N-methylleucine, Norleucine, tert-leucine, and the d isomer of leucine.
2. A purified peptide as claimed in claim 1, wherein X1 is G or D and wherein L* is
leucine.
3. A purified peptide comprising the amino acid sequence:
X1 - X2 - C - P*- Y* - X3 - L - C - X4 - Xs - X6 (SEQ ID NO:2), wherein:
P* is a proline or a its non-natural derivative 4-hydroxyproline;
Y* is a tyrosine or its non-natural derivative substituted at the 3 position with a moiety
selected from the grup consisting of F, Cl, Br, I, and NO2;
provided that at least one of said P* or Y* is said non-natural derivative of the respective amino
acid;
Xi is selected from the group consisting of W, Y, F, S, Bip, Hx, Dpr, Cy, Gu, Ad, Hfe, 3-
Pal, 4-Pal, DopaMe2, nTyr, dW, dF, F(3/4*), and Y(3*), wherein F(3/4*) is a phenylalanine

substituted at either the 3 or the 4 position with a moiety selected from the group consisting of
CH3, CF3, NH2, CH2NH2, CN, F, Ci, Br, I, Et, and OMe, and wherein Y(3*) is a tyrosine
substituted at the 3 position with a moiety selected from the group consisting of F, Cl, Br, I, and
NO2;
X2 is selected from the group consisting of E, H, dE, S, H(Bzl), 2-Pal, Dpr, and Th;
X3 is selected from the group consisting of G and D;
X4 is selected from the group consisting of H, F, Y, and W;
X5 is selected from the group consisting of I, L, V, N, Bpa, Bal, Hfe, Nle, Tie, Nval, Phg,
Cha, Taz, Fua, Th, 4-Pal, and F(3/4*), wherein F(3/4*) is a phenylalanine substituted at
either the 3 or the 4 position with a moiety selected from the group consisting of CF3, Et,
iPr, and OMe; and
X6' is selected from the group consisting of N, Q, I, L, and V, or X6' is not present.-
4. A purified peptide as claimed in claim 3, wherein P* is proline or 4-hydroxyproline, and
Y* is tyrosine or said non-natural derivative of tyrosine substituted at the 3 position with Cl.
5. The purified peptide as claimed in claim 3 or 4, the peptide is capable of forming a
disulfide bond under non-reducing conditions.
6. The purified peptide as claimed in claim 5, the peptide comprising a disulfide bond.
7. The purified peptide as claimed in claim 6, the peptide having a specific binding affinity
for fibrin.
8. A purified peptide as claimed in claim 4, comprising an amino acid sequence selected
from the group consisting of:
W-dE-C-P(4-OH)-Y(3-Cl)-G-L-C-W-I-Q (SEQ ID NO:4)
Y-dE-C-P(4-OH)-Y(3-Cl)-G-L-C-Y-I-Q (SEQ IDNO:5)
Y-dE-C-P(4-OH)-Y(3-Cl)-G-L-C-W-I-Q (SEQ ID NO:6)
W-dE-C-P(4-OH)-Y(3-Cl)-G-L-C-Y-I-Q (SEQ IDNO:7)
W-dE-C-P(4-OH)-Y(3-Cl)-D-L-C-W-I-Q (SEQ ID NO:8)
Y-dE-C-P(4-OH)-Y(3-Cl)-D-L-C-Y-I-Q (SEQ IDNO:9)

Y-dE-C-P(4-OH)-Y(3-Cl)-D-L-C-W-I-Q (SEQ ID NO: 10)
W-dE-C-P(4-OH)-Y(3-Cl)-D-L-C-Y-I-Q (SEQ ID NO: 11)
F(4-OMe)-H-C-P(4-OH)-Y(3-Cl)-D-L-C-H-I-L (SEQ ID NO: 12)
Y-H-C-P(4-OH)-Y(3-Cl)-G-L-C-W-I-Q (SEQ ID NO: 13)
W-dE-C-P-Y(3-Cl)-G-L-C-W-I-Q (SEQ ID NO: 14)
W-dE-C-P(4-OH)-Y-G-L-C-W-I-Q (SEQ ID NO: 15), and
F-H-C-P-(4-OH)-Y(3-Cl)-D-L-C-H-I-L (SEQ ID NO: 16).
9. The purified peptide as claimed in claim 8, the peptide capable of forming a disulfide
bond under non-reducing conditions.
10. The purified peptide as claimed in claim 9, the peptide comprising a disulfide bond.
11. The purified peptide as claimed in claim 10, the peptide having a specific binding affinity
for fibrin.
12. A compound comprising the peptide as claimed in claim 1, linked to a thrombolytic
agent.
13. A purified peptide comprising the amino acid sequence: C - P* — Y*- X1* — L - C (SEQ
ID NO:3), wherein:
X1 is G or D,
P* is proline or its non-natural derivative 4-hydroxyproline;
Y* is tyrosine or its non-natural derivative substituted at the 3 position with a moiety
selected from the group consisting of F, Cl, Br, I, and NO2;
provided that at least one of P* or Y* is said non-natural derivative of the respective
amino acid.
14. The purified peptide as claimed in claim 13, the peptide further capable of forming a
disulfide bond under non-reducing conditions.
15. The purified peptide as claimed in claim 14, the peptide comprising a disulfide bond.

16. The purified peptide as claimed in claim 15, the peptide having a specific binding affinity
for fibrin.
17. A compound comprising the peptide as claimed in claim 13, linked to a thrombolytic
agent.

Peptides and peptide-targeted multimeric contrast agents are described, as well as methods of making and using the
contrast agents.

Documents:

100-KOLNP-2004-FORM 27.pdf

100-KOLNP-2004-FORM-27.pdf

100-kolnp-2004-granted-abstract.pdf

100-kolnp-2004-granted-assignment.pdf

100-kolnp-2004-granted-claims.pdf

100-kolnp-2004-granted-correspondence.pdf

100-kolnp-2004-granted-description (complete).pdf

100-kolnp-2004-granted-drawings.pdf

100-kolnp-2004-granted-examination report.pdf

100-kolnp-2004-granted-form 1.pdf

100-kolnp-2004-granted-form 13.pdf

100-kolnp-2004-granted-form 18.pdf

100-kolnp-2004-granted-form 3.pdf

100-kolnp-2004-granted-form 5.pdf

100-kolnp-2004-granted-gpa.pdf

100-kolnp-2004-granted-reply to examination report.pdf

100-kolnp-2004-granted-specification.pdf


Patent Number 228059
Indian Patent Application Number 100/KOLNP/2004
PG Journal Number 05/2009
Publication Date 30-Jan-2009
Grant Date 28-Jan-2009
Date of Filing 28-Jan-2004
Name of Patentee See attached documents
Applicant Address See attached documents
Inventors:
# Inventor's Name Inventor's Address
1 See attached documents See attached documents
PCT International Classification Number A61B 5/055
PCT International Application Number PCT/US2002/24261
PCT International Filing date 2002-07-30
PCT Conventions:
# PCT Application Number Date of Convention Priority Country
1 NA